Individual provider · Type 1 NPI
Mary Moore
Prosthetic/Orthotic Supplier · Boston, MA
Practice location
86 Ormond St # Ll
Boston, MA 02126-1508
Mailing address
6 Liberty Sq Ste 2078
Boston, MA 02109-5800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1285425561
Mary Moore's National Provider Identifier is 1285425561, issued on May 15, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Boston, MA. The record was last updated on May 15, 2025.