Individual
JENINE L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 TROTWOOD BLVD, WINTER SPRINGS, FL 32708-6215
(561) 568-0836
Mailing address
1200 N CENTRAL AVE, KISSIMMEE, FL 34741-4450
(407) 201-7429
(877) 399-5578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24052
FL
Other
Enumeration date
12/09/2022
Last updated
03/22/2023
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