SearchIllinois314000000X

Holly Moore, MSOTR/L

NPI 1255648390 · on the registry since 2010 · sole proprietor

Practice

Address
202 West Davenport Street
Crossville, IL 62827
Phone
(618) 928-4801

Registry record

Primary taxonomy
314000000X
314000000X
Also registered as
314000000X
Licence states on file
IN, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois