Shenicki Coleman Moore
Occupational Therapist - Gerontology Occupational Therapist - Physical Rehabilitation
3540 Valmont Ave
Beaumont
, Texas 77706-6730
Shenicki Coleman Moore
Occupational Therapist - Gerontology Occupational Therapist - Physical Rehabilitation
3540 Valmont Ave
Beaumont
, Texas 77706-6730
(601) 665-8117
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About
Features
Specialties
- Occupational Therapist - Gerontology
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Shenicki Coleman Moore
- 3540 Valmont Ave
- Beaumont, TX
- Zip : 77706-6730
- Phone : (601) 665-8117
Second Address
- Shenicki Coleman Moore
- 3540 Valmont Ave
- Beaumont, TX
- Zip : 77706-6730
- Phone : (601) 665-8117
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | ||
| N | 225XG0600X | Occupational Therapist - Gerontology | TX | |
| N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
National Provider Identifier
| NPI | 1336629708 |
|---|---|
| Provider Name | Shenicki Coleman Moore |
| First Address | Beaumont, TX 77706-6730 |
| Second Address | Beaumont, TX 77706-6730 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2018 |
| Last Update Date | 15/08/2018 |
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.