Individual
VALERIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(888) 913-1910
(877) 913-1174
Mailing address
86 ABBY KATE LN, FORISTELL, MO 63348-1073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014022450
MO
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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