MRS. Theodora Elizabeth Moore

NPI #1114637402 in Canton, Ohio

Provider Information

NPI Number: 1114637402
Entity Type: Individual
Name: MRS. Theodora Elizabeth Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Nov 29, 2022
Last Updated: Nov 29, 2022

Practice Location

Address: 1320 MERCY DR NW
City: Canton
State: Ohio
ZIP Code: 44708-2614
Phone: (330) 489-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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