Individual provider · Type 1 NPI

Kathy Moore, OT

Specialist · Prince Frederick, MD

NPI number 1417016718 Active

Practice location

120 Hospital Rd, Suite 100
Prince Frederick, MD 20678-4022

Call (410) 535-8180 Map

Fax (410) 535-8325

Mailing address

8321 Quineeview Lane
Owings, MD 20736

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X01320 (MD)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417016718

Kathy Moore, OT's National Provider Identifier is 1417016718, issued on Dec 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Prince Frederick, MD. The record was last updated on Jul 8, 2007.