Individual
MISS ELANOR MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
339 GREENE AVE APT 8B, BROOKLYN, BROOKLYN, NY 11238-2294
(646) 577-2412
Mailing address
339 GREENE AVE APT 8B, BROOKLYN, BROOKLYN, NY 11238-2294
(646) 577-2412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020763
NY
225X00000X
Occupational Therapist
46TR00741100
NJ
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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