DAPHNE MOORE

VALDOSTA, GA
NPI1104380906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA002351)
Enumeration Date2019-01-25
Last Update Date2019-01-25
Business Address
DAPHNE MOORE
1207 TIMBER LINE DR
VALDOSTA, GA 31602-3732
Phone number: 229-560-0172
Mailing Address
DAPHNE MOORE
1207 TIMBER LINE DR
VALDOSTA, GA 31602-3732
Phone number: 229-560-0172
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