Individual
CAROLYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1506 ALLEN ST, SPRINGFIELD, MA 01118-1817
(413) 783-5500
Mailing address
1506 ALLEN ST, SPRINGFIELD, MA 01118-1817
(413) 783-5500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
07610
MA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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