David Clark Moore, OT

NPI #1568707362 in Canton, Georgia

Provider Information

NPI Number
1568707362
Entity Type
Individual
Name
David Clark Moore, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Dec 5, 2012
Last Updated
Dec 5, 2012

Practice Location

Address
125 RIVERSTONE TER
City
Canton
State
Georgia
ZIP Code
30114-5218
Phone
(770) 479-0472

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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