Individual
MR. NATHANAEL DAVID MOORE
Active
Individual
MR. NATHANAEL DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
009313
OH
225X00000X
Occupational Therapist
020010
NY
225X00000X
Occupational Therapist
OC014112
PA
225XH1200X
Hand Occupational Therapist
5674
SC
225XH1200X
Hand Occupational Therapist
Primary
9958
NC
Other
Enumeration date
10/22/2015
Last updated
12/12/2025
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