National Provider Identifier
Angela Moore, OTR/L
Angela Moore, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 720-9608.
Profile Overview
- NPI
- 1609296474
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- April 21, 2014
- Last Updated
- April 21, 2014
Practice Location
- 2050 Clinton Ave S
- Rochester, NY 14618-5727
Phone: (585) 720-9608
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1609296474
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Angela
- Credential
- OTR/L
- Provider Other Last Name
- Fasano
- Provider Other First Name
- Angela
- Provider Other Credential Text
- OTR/L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2050 Clinton Ave S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5727
- Mailing Country
- US
- Mailing Phone
- (585) 720-9608
- Mailing Fax
- (585) 750-5484
- Practice Street Address
- 2050 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5727
- Practice Country
- US
- Practice Phone
- (585) 720-9608
- Practice Fax
- (585) 750-5484
- Enumeration Date
- April 21, 2014
- Last Updated
- April 21, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)