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Individual

ERICA LENORE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
114 COVE BROOK DR, MERIDIANVILLE, AL 35759-7300
(770) 853-4599
Mailing address
24623 UNION HILL RD, ARDMORE, TN 38449-3101
(931) 427-2143

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
7148
TN
225X00000X
Occupational Therapist
Primary
OT004911
GA

Other

Enumeration date
10/08/2009
Last updated
09/19/2023
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