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Organization

JENNY MOSS OCCUPATIONAL THERAPY SERVICES, INC.

Active
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Organization

JENNY MOSS OCCUPATIONAL THERAPY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY MOSS (OCCUPATIONAL THERAPIST/OWNER)
(618) 580-9464
Entity
Organization

Contact information

Practice address
7207 GRASSY RD, CARBONDALE, IL 62902-0465
(618) 580-9464
Mailing address
7207 GRASSY RD, CARBONDALE, IL 62902-0465

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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