Individual
NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3045 FEATHERS DR, YORK, SC 29745
(248) 207-0797
Mailing address
3045 FEATHERS DR, YORK, SC 29745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17966
FL
225X00000X
Occupational Therapist
Primary
7839
SC
Other
Enumeration date
09/05/2016
Last updated
02/27/2026
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