Pamela Marie Moore, OTR
Occupational Therapist in Hahira, GA. Individual provider (NPI-1).
NPI number1477547701
StatusActive
Last updated in NPPESOct 15, 2012
Details
- NPI
- 1477547701
- Entity type
- Individual (NPI-1)
- Name
- Pamela Marie Moore
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2005
- Last updated
- Oct 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT003205 | GA | Yes |
Practice location
6595 Cole RdHahira, GA 31632-3621
Phone 229-563-0811 · Fax 229-794-8009
Mailing address
6595 Cole RdHahira, GA 31632-3621
Phone 229-563-0811 · Fax 229-794-8009
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