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Individual

TAMELA A. MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2872 CASTLEWOOD DR NW, ATLANTA, GA 30327-1204
(404) 273-1052
Mailing address
PO BOX 19616, ATLANTA, GA 30325-0616
(404) 273-1052

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
851
GA
225XP0200X
Pediatric Occupational Therapist
Primary
851
GA

Other

Enumeration date
08/05/2008
Last updated
08/04/2011
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