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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANDREW L. MOORE, P.T.A.

Active

MR. ANDREW L. MOORE, P.T.A. is a Occupational Therapist healthcare provider located in BLYTHEWOOD, South Carolina. NPI 1003612003 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BLYTHEWOOD, SC

Registration Details

NPI Number
1003612003
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2025 (1.4561348281181 yrs)
Last Updated
Feb 20, 2025
License
6817 (SC)

Practice Information

Address
420-B MCNULTY ROAD P.O. BOX 219
BLYTHEWOOD, SC, 290168926
Browse SC providers · Browse ZIP 29016
Phone
8037280421
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in BLYTHEWOOD, SC

Name Credential NPI
WENDY MONROE 1548686520
MISS BROOKE L. GREEN P.T.A. 1598129512
MR. SAMUEL C SHANNON PTA 1871210039
MISS ELLISON SLOAN EARGLE PTA 1427908680
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.