IndividualActive
Mary Moore
NPI 1285425561 · Prosthetic/Orthotic Supplier · Boston, MA
Provider details
- NPI number
- 1285425561
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
86 Ormond St # Ll
Boston, MA 02126-1508
Phone: (617) 581-8063
Approximate (ZIP-level) locationGet directions
Mailing address
6 Liberty Sq Ste 2078
Boston, MA 02109-5800
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.