Michael Allen Moore

NPI #1598068397 in Northville, Michigan

Provider Information

NPI Number: 1598068397
Entity Type: Individual
Name: Michael Allen Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 16, 2010
Last Updated: Dec 16, 2010

Practice Location

Address: 235 E MAIN ST
Address 2: SUITE 104
City: Northville
State: Michigan
ZIP Code: 48167-2494
Phone: (248) 349-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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