Thea Moore, MA, OTR

NPI #1417673294 in Summit, New Jersey

Provider Information

NPI Number: 1417673294
Entity Type: Individual
Name: Thea Moore, MA, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MA, OTR
Enumeration Date: Oct 13, 2022
Last Updated: Oct 13, 2022

Practice Location

Address: 156 MOUNTAIN AVE
City: Summit
State: New Jersey
ZIP Code: 07901-3454
Phone: (908) 273-2613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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