Individual
JESSICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1231 GREENWAY DR STE 100, IRVING, TX 75038-2525
(972) 871-1800
Mailing address
1231 GREENWAY DR, STE 100, IRVING, TX 75038-2525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213965
TX
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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