Organization
NOURISH AND THRIVE THERAPY
Active
Organization
NOURISH AND THRIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MOORE OTR/L (CEO)
(949) 702-1819
Entity
Organization
Contact information
Practice address
7 BLACK CHERRY ST, LADERA RANCH, CA 92694-0752
(949) 702-1819
(949) 379-8701
Mailing address
7 BLACK CHERRY ST, LADERA RANCH, CA 92694-0752
(949) 702-1819
(949) 379-8701
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/11/2025
Update your record
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