Individual
MARY JO E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
BATTLE CREEK VA MEDICAL CENTER, 5500 ARMSTRONG RD, BATTLE CREEK, MI 49037
(269) 223-5303
Mailing address
607 KNOLL CT, CORUNNA, MI 48817-1203
(989) 494-8552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007876
MI
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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