Individual
DEBORAH ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, RN, CES
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
9761 PORTAL DR, EDEN PRAIRIE, MN 55347-4234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101494
MN
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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