Individual
AMANDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 LOCKWOOD DR, CHARLOTTESVILLE, VA 22911-5614
(434) 963-7673
Mailing address
2003 CALVARY CIR APT 102I, CHARLOTTESVILLE, VA 22911-8453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008351
VA
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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