DAVID CLARK MOORE

CANTON, GA
NPI1568707362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT0020014)
Enumeration Date2012-12-05
Last Update Date2012-12-05
Business Address
-- DAVID CLARK MOORE OT
125 RIVERSTONE TER
CANTON, GA 30114-5218
Phone number: 770-479-0472
Mailing Address
-- DAVID CLARK MOORE OT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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