Individual provider · Type 1 NPI

Sara Moore

Developmental Therapist · Charlotte, NC

NPI number 1154737856 Active

Practice location

3727 Rose Lake Dr
Charlotte, NC 28217-2846

Call (704) 778-7192 Map

Mailing address

6635 Coral Rose Rd
Charlotte, NC 28277-3852

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X000422615 (NC)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1154737856

Sara Moore's National Provider Identifier is 1154737856, issued on Jul 2, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 2, 2014.