Individual
MR. DAVE JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
807 PLEASANT VALLEY RD, WEST BEND, WI 53095-9767
(262) 675-6533
Mailing address
3128 WILDFLOWER LN, JACKSON, WI 53037-8928
(262) 510-7277
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
Primary
4262-026
WI
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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