Ms. Carol Therese Moore
Occupational Therapist - Gerontology
1908 Coolidge Ave
Willow Grove
, Pennsylvania 19090-3017
Ms. Carol Therese Moore
Occupational Therapist - Gerontology
1908 Coolidge Ave
Willow Grove
, Pennsylvania 19090-3017
(215) 657-7668
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Carol Therese Moore
- 1908 Coolidge Ave
- Willow Grove, PA
- Zip : 19090-3017
- Phone : (215) 657-7668
Second Address
- Ms. Carol Therese Moore
- 1908 Coolidge Ave
- Willow Grove, PA
- Zip : 19090-3017
- Phone : (215) 657-7668
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225XG0600X | Occupational Therapist - Gerontology | 2309 | MA |
| Y | 225XG0600X | Occupational Therapist - Gerontology | OC003500L | PA |
National Provider Identifier
| NPI | 1760707384 |
|---|---|
| Provider Name | Ms. Carol Therese Moore |
| First Address | Willow Grove, PA 19090-3017 |
| Second Address | Willow Grove, PA 19090-3017 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2010 |
| Last Update Date | 07/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.