Individual
LISA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Mailing address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
256
AL
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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