Mary Moore
NPI #1285425561 in Boston, Massachusetts
Provider Information
- NPI Number
- 1285425561
- Entity Type
- Individual
- Name
- Mary Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 15, 2025
- Last Updated
- May 15, 2025
Practice Location
- Address
- 86 ORMOND ST # LL
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02126-1508
- Phone
- (617) 581-8063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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