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

LACIE MOORE, P.T.A.

Active

LACIE MOORE, P.T.A. is a Occupational Therapist healthcare provider located in ELLICOTT CITY, Maryland. NPI 1497023097 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ELLICOTT CITY, MD

Registration Details

NPI Number
1497023097
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2011 (14.637530031396 yrs)
Last Updated
Jul 16, 2012
License
A3664 (MD)

Practice Information

Address
6011 UNIVERSITY BLVD
SUITE 120
ELLICOTT CITY, MD, 210436074
Browse MD providers · Browse ZIP 21043
Phone
4102030391
Fax
4102032707
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in ELLICOTT CITY, MD

Name Credential NPI
DIANA TUCKER PTA 1083600886
DANIELLE LITTLE PTA 1114045101
MS. CHRISTINA BOONE 1114142924
KRISTEN ANN RODEN-HICKS PTA, LATC 1003037482
KELLY ROTHERING LPTA 1356678486
MS. GRACIE ANN SCHROEN PTA 1093086639
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.