Individual
REBECCA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
476 RIDDLE RD, CINCINNATI, OH 45220-2411
(513) 281-8001
Mailing address
3347 STEVIE LN, CINCINNATI, OH 45239-6221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04947
OH
Other
Enumeration date
11/22/2012
Last updated
11/22/2012
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