Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daphne Moore

Individual provider Occupational Therapy Assistant · NPI 1104380906

Daphne Moore is an Occupational Therapy Assistant in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
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Practice location Address checks out

1207 Timber Line Dr
Valdosta, GA 31602-3732
Phone: (229) 560-0172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA002351 (GA)

Record details

NPI number1104380906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2019
Last updated in NPPESJanuary 25, 2019

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