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1801240262
HALEY COLLEEN MOORE
LOUISVILLE, KY
NPI
1801240262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32003008A)
Enumeration Date
2016-04-21
Last Update Date
2016-04-21
Business Address
Ms. HALEY COLLEEN MOORE COTA/L
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
Ms. HALEY COLLEEN MOORE COTA/L
5108 WINTERBERRY DR APT C
INDIANAPOLIS, IN 46254-1331
Phone number: 317-385-6309
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