Individual
VICTORIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
317 TYSON AVE, PARIS, TN 38242-4567
(731) 407-9114
Mailing address
317 TYSON AVE, PARIS, TN 38242-4567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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