Individual
ANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
613 S KNIK GOOSE BAY RD STE E, WASILLA, AK 99654-8090
(907) 317-5895
Mailing address
8824 COUNTY ROAD 16, BRYAN, OH 43506-8616
(419) 551-2661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111464
IA
225X00000X
Occupational Therapist
Primary
190001
AK
225X00000X
Occupational Therapist
OT011444
OH
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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