DANIEL WAYNE MOORE

SELMER, TN
NPI1568538486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  tn0000000722)
Enumeration Date2006-11-24
Last Update Date2007-07-08
Business Address
Mr. DANIEL WAYNE MOORE COTA
835 E POPLAR AVE
SELMER, TN 38375-1832
Phone number: 731-645-3201
Mailing Address
Mr. DANIEL WAYNE MOORE COTA
1510 WOODVILLE RD
BETHEL SPRINGS, TN 38315-4014
Phone number: 731-645-4041
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