Individual
MRS. JULIE MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
610 SPARTA RD, SANDERSVILLE, GA 31082-1860
(478) 240-2176
Mailing address
610 SPARTA RD, SANDERSVILLE, GA 31082-1860
(478) 240-2176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002917
GA
Other
Enumeration date
07/30/2007
Last updated
08/08/2007
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