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1417673294
THEA MOORE
SUMMIT, NJ
NPI
1417673294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR00137600)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
THEA MOORE MA, OTR
156 MOUNTAIN AVE
SUMMIT, NJ 07901-3454
Phone number: 908-273-2613
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Mailing Address
THEA MOORE MA, OTR
156 MOUNTAIN AVE
SUMMIT, NJ 07901-3454
Phone number: 908-273-2613
Copy
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