MR. Randy Michael Moore, O.T.R.

NPI #1013986504 in Lubbock, Texas

Provider Information

NPI Number: 1013986504
Entity Type: Individual
Name: MR. Randy Michael Moore, O.T.R.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.R.
Enumeration Date: Mar 16, 2006
Last Updated: Jun 15, 2009

Practice Location

Address: 3114 105TH ST
City: Lubbock
State: Texas
ZIP Code: 79423-6053
Phone: (806) 368-7759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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