Individual
MICHELLE ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8449 JONATHAN LN APT E, MAINEVILLE, OH 45039-9356
(513) 967-5123
Mailing address
8304 MYRTLE LN APT B, LIBERTY TWP, OH 45044-8531
(513) 292-4313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02118
OH
Other
Enumeration date
07/21/2011
Last updated
03/07/2025
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