David Clark Moore, OT
Occupational Therapist in Canton, GA. Individual provider (NPI-1).
NPI number1568707362
StatusActive
Last updated in NPPESDec 5, 2012
Details
- NPI
- 1568707362
- Entity type
- Individual (NPI-1)
- Name
- David Clark Moore
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2012
- Last updated
- Dec 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT0020014 | GA | Yes |
Practice location
125 Riverstone TerCanton, GA 30114-5218
Phone 770-479-0472 · Fax 770-479-0472
Mailing address
2222 Sullivan TrlEaston, PA 18040-7958
Phone 800-944-9782 · Fax 610-438-2046
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All 32 Occupational Therapist providers in Canton · All 1,795 providers in Canton
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