Individual
LORELLE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
515 W BUTLER RD STE A, GREENVILLE, SC 29607-4833
(864) 757-9918
(864) 757-9921
Mailing address
219 GERALD DR, SIMPSONVILLE, SC 29681-4111
(864) 757-9918
(864) 757-9921
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5486
SC
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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