Individual
ANNETTE BERNARD - MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1122 TAYLOR ST, ZANESVILLE, OH 43701-2658
(740) 588-2182
(740) 588-2185
Mailing address
1122 TAYLOR ST, ZANESVILLE, OH 43701-2658
(740) 588-2182
(740) 588-2185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT- 2242
OH
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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