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Individual

JORDAN NICOLE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1920 SLABTOWN RD, LIMA, OH 45801-3309
(419) 303-6436
Mailing address
4170 ROAD 151, GROVER HILL, OH 45849-9322
(419) 303-6436

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006231
OH

Other

Enumeration date
04/15/2026
Last updated
04/15/2026
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