Individual provider · Type 1 NPI

David Clark Moore, OT

Occupational Therapist · Canton, GA

NPI number 1568707362 Active

Practice location

125 Riverstone Ter
Canton, GA 30114-5218

Fax (770) 479-0472

Mailing address

2222 Sullivan Trl
Easton, PA 18040-7958

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT0020014 (GA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1568707362

David Clark Moore, OT's National Provider Identifier is 1568707362, issued on Dec 5, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Canton, GA. The record was last updated on Dec 5, 2012.