Individual
REBECCA CAROL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PALOMINO LN, STE 401, BEDFORD, NH 03110-6447
(603) 669-7716
(603) 669-0103
Mailing address
80 PALOMINO LN, SUITE 401, BEDFORD, NH 03110-6447
(603) 669-7716
(603) 669-0103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0855
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30410122
—
NH
Enumeration date
05/12/2009
Last updated
05/12/2009
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