Shayla Kirondi Moore, OTR/L

NPI #1124325253 in Waldorf, Maryland

Provider Information

NPI Number: 1124325253
Entity Type: Individual
Name: Shayla Kirondi Moore, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Feb 25, 2011
Last Updated: Feb 25, 2011

Practice Location

Address: 10713 SOURWOOD AVE
City: Waldorf
State: Maryland
ZIP Code: 20603-5752
Phone: (240) 475-2658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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