IndividualActive
Brendan Moore, B.A.
NPI 1407211345 · Occupational Therapist · Cedar Crest, NM
Provider details
- NPI number
- 1407211345
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- B.A.
- Sex
- Male
- Sole proprietor
- No
Practice location
12127 State Hwy 14 N
Cedar Crest, NM 87008-9461
Phone: (505) 286-3678
Mailing address
316 Wellesley Dr Se
Albuquerque, NM 87106-1422
Registry dates
- Enumerated
- 2015-12-18
- Last updated
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.