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Individual

CLAUDIA MARLENE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
991 NW LEONARDO CIR, PORT ST LUCIE, FL 34986-4351
(305) 742-3855
Mailing address
991 NW LEONARDO CIR, PORT ST LUCIE, FL 34986-4351
(305) 742-3855

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15428
FL

Other

Enumeration date
04/17/2018
Last updated
04/17/2018
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