BRENDAN MOORE

CEDAR CREST, NM
NPI1407211345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NM  2106)
Additional Taxonomies101YS0200X Counselor, School
Enumeration Date2015-12-18
Last Update Date2021-03-08
Business Address
BRENDAN MOORE B.A.
12127 STATE HWY 14 N
CEDAR CREST, NM 87008-9461
Phone number: 505-286-3678
Mailing Address
BRENDAN MOORE B.A.
316 WELLESLEY DR SE
ALBUQUERQUE, NM 87106-1422
Phone number: 808-365-3931