Individual
MRS. DONNA KIMBERLY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
504 LEAF LN, SOMERSET, KY 42503-4662
(606) 677-9490
(606) 679-4626
Mailing address
504 LEAF LN, SOMERSET, KY 42503-4662
(606) 677-9490
(606) 679-4626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3647
KY
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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