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Individual

JESSICA MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
834 E HIGH AVE, NEW PHILADELPHIA, OH 44663-3052
(330) 308-9939
Mailing address
817 N 10TH ST, CAMBRIDGE, OH 43725-1556
(740) 584-2914

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04066
OH

Other

Enumeration date
01/05/2015
Last updated
01/05/2015
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