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Individual

MS. ANDREA NICOLE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
5284 S. COMMERCE DR., SUITE C214, MURRAY, UT 84107
(801) 871-5492
Mailing address
5284 S. COMMERCE DR., SUITE C214, MURRAY, UT 84107
(636) 579-2994

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary
13803283-4201
UT

Other

Enumeration date
06/19/2020
Last updated
02/28/2024
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