SANDRA MOORE

APO, AE
NPI1083038350
Former NameSANDRA LEE GOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT16006)
Additional Taxonomies225XM0800X Occupational Therapist, Mental Health
225XP0019X Occupational Therapist, Physical Rehabilitation
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date2014-02-07
Last Update Date2014-02-07
Business Address
-- SANDRA MOORE OTR
PSC 76 BOX 263 65TH MED GROUP/SGH
APO, AE 09720-0003
Phone number: 505-299-2643
Mailing Address
-- SANDRA MOORE OTR
PSC 76 BOX 263
APO, AE 09720-0003
Phone number: 505-299-2643