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

TIARA ROSE MOORE, OTR/L

Active Sole Proprietor

TIARA ROSE MOORE, OTR/L is a Pediatric Occupational Therapist healthcare provider located in SHENANDOAH JUNCTION, West Virginia. NPI 1245517960 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · SHENANDOAH JUNCTION, WV

Registration Details

NPI Number
1245517960
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2011 (14.735203613932 yrs)
Last Updated
Nov 9, 2011
License
1560 (WV)
Sole Proprietor
Yes

Practice Information

Address
103 SHENANDOAH JUNCTION RD
SHENANDOAH JUNCTION, WV, 254424757
Browse WV providers · Browse ZIP 25442
Phone
3047287250
Primary Specialty
Pediatric Occupational Therapist
225XP0200X
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.