MRS. Donna Lynn Moore

NPI #1982955506 in Aurora, Illinois

Provider Information

NPI Number: 1982955506
Entity Type: Individual
Name: MRS. Donna Lynn Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Sep 21, 2012
Last Updated: Sep 21, 2012

Practice Location

Address: 1985 BAYVIEW LN
City: Aurora
State: Illinois
ZIP Code: 60506-1269
Phone: (630) 401-6942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Developmental Therapist	222Q00000X	Primary

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