NICOLE MOORE

Occupational Therapist

Active Individual
NPI: 1972050243

Practice Address

4381 CHARLOTTE HWY STE 104
Lake Wylie, SC 29710

Phone: (803) 631-5485

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes 7839 (SC)

Frequently Asked Questions

NPI 1972050243 is the National Provider Identifier for NICOLE MOORE, a Occupational Therapist provider located in Lake Wylie, SC. This NPI was enumerated on September 5, 2016.
NICOLE MOORE practices at 4381 CHARLOTTE HWY STE 104, Lake Wylie, SC 29710.

Quick Facts

NPI
1972050243
Type
Individual
Enumerated
Sep 5, 2016
Last Updated
Jan 29, 2026

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