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Individual

ASHELY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
27 REINKE RD, ELLISVILLE, MO 63021-4700
(636) 527-5554
Mailing address
2045 SPLENDOR DR, FLORISSANT, MO 63031-2637

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012028466
MO

Other

Enumeration date
06/22/2020
Last updated
06/22/2020
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