Individual
KRISTIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S 43RD ST, BOX 50010 NWP 002, RENTON, WA 98055-5714
(425) 251-5165
(425) 656-4028
Mailing address
400 S 43RD ST, BOX 50010 NWP 002, RENTON, WA 98055-5714
(425) 251-5165
(425) 656-4028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60645149
WA
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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