Individual provider · Type 1 NPI

Camilla Susan Moore, DC

Chiropractor · Providence, RI

NPI number 1639345283 Active

Practice location

144 Waterman St, Suite 2
Providence, RI 02906-2126

Fax (410) 466-4050

Mailing address

17 Burnside St
Bristol, RI 02809-2003

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3187 (MA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1639345283

Camilla Susan Moore, DC's National Provider Identifier is 1639345283, issued on May 5, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Providence, RI. The record was last updated on Apr 15, 2012.