Individual
JAMIE MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9133 AMBERGROVE DR, HOWELL, MI 48843-6108
(248) 982-5305
Mailing address
9133 AMBERGROVE DR, HOWELL, MI 48843-6108
(248) 982-5305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006398
MI
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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