Ms. Tamara Dawn Moore
Occupational Therapist - Pediatrics
600 W 41st Ave Ste 103
Anchorage
, Alaska 99503-6601
Ms. Tamara Dawn Moore
Occupational Therapist - Pediatrics
600 W 41st Ave Ste 103
Anchorage
, Alaska 99503-6601
(907) 334-9320
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Tamara Dawn Moore
- Po Box 244804
- Anchorage, AK
- Zip : 99524-4804
- Fax : (907) 334-9320
- Phone : (907) 306-1728
Second Address
- Ms. Tamara Dawn Moore
- 600 W 41st Ave Ste 103
- Anchorage, AK
- Zip : 99503-6601
- Fax : (907) 334-9320
- Phone : (907) 306-1728
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Is Ms. Tamara Dawn Moore a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 1318 | AK |
| N | 225XP0200X | Occupational Therapist - Pediatrics | PHYO1318 | AK |
National Provider Identifier
| NPI | 1033321047 |
|---|---|
| Provider Name | Ms. Tamara Dawn Moore |
| First Address | Anchorage, AK 99524-4804 |
| Second Address | Anchorage, AK 99503-6601 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2007 |
| Last Update Date | 16/11/2021 |
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.