Organization
MOONBEAM THERAPIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA IRVIN CRANFORD MS, OTR/L (OWNER/FOUNDER)
(334) 865-2002
Entity
Organization
Contact information
Practice address
6609 SPRINGFIELD VILLAGE LN, CLEMMONS, NC 27012-8996
(336) 865-2002
(336) 828-0124
Mailing address
PO BOX 310, CLEMMONS, NC 27012-0310
(336) 971-4734
(336) 828-0124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
02/13/2024
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