Individual
MRS. JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
6540 HAVENS CORNERS RD, BLACKLICK, OH 43004-8415
(614) 759-5100
Mailing address
6540 HAVENS CORNERS RD, BLACKLICK, OH 43004-8415
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006839
OH
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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