CANDICE MOORE, OTR L

Occupational Therapist

Active Individual
NPI: 1174699011

Practice Address

4500 INTERSTATE 55 NORTH
SUITE 291, HIGHLAND VILLAGE
Jackson, MS 39211

Phone: (601) 362-0859

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes OT1713 (MS)

Frequently Asked Questions

NPI 1174699011 is the National Provider Identifier for CANDICE MOORE, OTR L, a Occupational Therapist provider located in Jackson, MS. This NPI was enumerated on November 24, 2006.
CANDICE MOORE, OTR L practices at 4500 INTERSTATE 55 NORTH, SUITE 291, HIGHLAND VILLAGE, Jackson, MS 39211.

Quick Facts

NPI
1174699011
Type
Individual
Enumerated
Nov 24, 2006
Last Updated
Jul 8, 2007

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