Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
210 FRANKLIN RD, LOOKOUT MOUNTAIN, TN 37350-1224
(423) 635-3035
Mailing address
PO BOX 4362, CHATTANOOGA, TN 37405-0362
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4761
TN
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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