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Individual

MRS. JILL MARIE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
105 BOEHM DR, SHINER, TX 77984-6288
(361) 594-8301
(361) 594-3033
Mailing address
105 BOEHM DR, SHINER, TX 77984-6288
(361) 594-8301
(361) 594-3033

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
113675
TX

Other

Enumeration date
10/27/2014
Last updated
10/27/2014
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