Moore, David Clark

Moore, David Clark is an individual health care provider with primary practice located at 125 Riverstone Ter , Canton GA 30114-5218. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Moore, David Clark can be contacted via phone (770) 479-0472.

Contact Information

Primary practice address
125 Riverstone Ter Canton GA 30114-5218
Phone: (770) 479-0472
Fax: (770) 479-0472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0020014 Georgia

Profile Details

NPI number 1568707362
LBN Legal business name Moore, David Clark
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated Dec 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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