Valerie Nicole Moore, MSOT, OTR/L
Occupational Therapist in Eldersburg, MD. Individual provider (NPI-1).
NPI number1871076331
StatusActive
Last updated in NPPESApr 14, 2023
Details
- NPI
- 1871076331
- Entity type
- Individual (NPI-1)
- Name
- Valerie Nicole Moore
- Credential
- MSOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2018
- Certification date
- Apr 14, 2023
- Last updated
- Apr 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 09955 | MD | Yes |
| 106S00000X | Behavior Technician | 106S00000X | CA |
Practice location
2028 Liberty Rd. #103Eldersburg, MD 21784
Phone 410-598-4336
Mailing address
2028 Liberty Rd. #103Eldersburg, MD 21784
Phone 410-598-4336
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