Michele K Moore, OT

NPI #1306157250 in Harvard, Illinois

Provider Information

NPI Number: 1306157250
Entity Type: Individual
Name: Michele K Moore, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 25, 2010
Last Updated: Oct 21, 2013

Practice Location

Address: 901 GRANT ST
City: Harvard
State: Illinois
ZIP Code: 60033-1821
Phone: (815) 943-2975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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