MRS. Stacey L S Moore, MOTR/L

NPI #1558426593 in Gresham, Oregon

Provider Information

NPI Number
1558426593
Entity Type
Individual
Name
MRS. Stacey L S Moore, MOTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
MOTR/L
Enumeration Date
Dec 27, 2006
Last Updated
Sep 19, 2023

Practice Location

Address
2895 SE POWELL VALLEY RD
State
Oregon
ZIP Code
97080-1492
Phone
(971) 571-5319

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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