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1003971615
DIANNE LOUISE MOORE
VENICE, FL
NPI
1003971615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 3289)
Enumeration Date
2006-12-26
Last Update Date
2009-09-16
Business Address
-- DIANNE LOUISE MOORE OTR
256 NOKOMIS AVE S STE 2
VENICE, FL 34285-2357
Phone number: 941-484-1939
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Mailing Address
-- DIANNE LOUISE MOORE OTR
4994 NAUTILUS RD
VENICE, FL 34293-7732
Phone number: 941-492-2092
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