Dale Kurt Moore, OT
Day Training/Habilitation Specialist in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1255488284
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255488284
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dale Kurt Moore
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | 2943 | AZ | Yes |
Practice location
8115 E Indian Bend RdSte. 123
Scottsdale, AZ 85250-4819
Phone 480-951-6451 · Fax 480-951-6464
Mailing address
2426 E Laurel StMesa, AZ 85213-2375
Phone 480-699-9126
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