Individual
JODI MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
122 CALLICOON CENTER RD, JEFFERSONVILLE, NY 12748-6511
(845) 482-3263
Mailing address
122 CALLICOON CENTER RD, JEFFERSONVILLE, NY 12748-6511
(845) 482-3263
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006328-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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