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Contact Information

CAROL T MOORE
1908 COOLIDGE AVE
WILLOW GROVE, PA19090-3017
 Phone: 215-657-7668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CAROL T MOORE · (Female)

NPI Number 1760707384
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2010
Last updated 04/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 2309
  • PA License # OC003500L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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