Individual
VICTORIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
272 ITASCA ST, BOSTON, MA 02126-3253
(617) 543-9714
Mailing address
272 ITASCA ST, BOSTON, MA 02126-3253
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2868
MA
225X00000X
Occupational Therapist
Primary
14167
MA
Other
Enumeration date
05/11/2007
Last updated
09/23/2021
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