Nichole Moore

NPI #1013269422 in Greensboro, North Carolina

Provider Information

NPI Number: 1013269422
Entity Type: Individual
Name: Nichole Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 9, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 3511 W MARKET ST
Address 2: STE. B
City: Greensboro
State: North Carolina
ZIP Code: 27403-4443
Phone: (336) 294-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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