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

MRS. PHYLLIS DIANE MOORE I, AAS

Active

MRS. PHYLLIS DIANE MOORE I, AAS is a Occupational Therapist healthcare provider located in COLUMBIA, Tennessee. NPI 1407940604 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · COLUMBIA, TN

Registration Details

NPI Number
1407940604
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2006 (19.853858546664 yrs)
Last Updated
Jul 8, 2007
License
246 (TN)

Practice Information

Address
2710 TROTWOOD AVE
COLUMBIA, TN, 384014903
Browse TN providers · Browse ZIP 38401
Phone
3913887182
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in COLUMBIA, TN

Name Credential NPI
MS. JEAN MARIE AMORE 1871684704
TRACY R SHRADER PTA 1902944473
MS. AMANDA COLETTE DIERKING 1508905795
KRISTI LYNNETTE NICHOLS LPTA 1508990391
POLLY FLOYD 1326213778
STEPHANIE LEE WILLIAMS PTA 1376854349
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.