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Individual

MRS. SUSAN LOUISE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Mailing address
45 YELLOWWOOD DR, DOWNINGTOWN, PA 19335-4611
(610) 269-8223

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007399
PA

Other

Enumeration date
11/12/2012
Last updated
11/12/2012
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