NPI 1114637402
Theodora Elizabeth Moore
Practice location
- Address
- 1320 Mercy Dr NW, Canton, OH 44708-2614
- Phone
- (330) 489-1000
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1114637402
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Nov 2022
- Record last updated
- 29 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.