| NPI | 1760693907 |
|---|---|
| Former Name | MELANIE C MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY 135224) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY KY-R1473) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2017-01-12 |