Individual
MRS. KAROL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T..
Contact information
Practice address
500 HOSPITAL DR, CRESTVIEW, FL 32539-7355
(850) 419-4874
Mailing address
366 PARADISE ISLAND DR, LOT F-5, DEFUNIAK SPRINGS, FL 32433-7014
(850) 419-4874
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13061
FL
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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