MRS. Kelli Michelle Moore, CTRS

NPI #1225051469 in Augusta, Georgia

Provider Information

NPI Number
1225051469
Entity Type
Individual
Name
MRS. Kelli Michelle Moore, CTRS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Recreation Therapist
Credential
CTRS
Enumeration Date
Jul 26, 2006
Last Updated
Jul 10, 2007

Practice Location

Address
1 FREEDOM WAY
Address 2
RECREATION THERAPY (294)
State
Georgia
ZIP Code
30904-6258
Phone
(706) 733-0188

Specialties & Taxonomy Codes

Specialty
Recreation Therapist

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