| Doctor Name: | CARY C MOORE |
| NPI Number: | 1013147016 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OT |
| License Number: | 2060 |
| Business Practice Address: | 18606 Old Glenn Hwy Chugiak, AK - 995671750 |
| Business Phone Number: | 9076880282 |
| Business Fax Number: | 9076882013 |
| Mailing Address: | Po Box 671750, CHUGIAK |
| State: | AK |
| Postal Code: | 995671750 |
| Phone Number: | 9076880282 |
| Fax Number: | 9076882013 |
| NPI Enumeration Date: | 07/24/2009 |
| NPI Last Update Date: | 07/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | 2060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |