Individual
MRS. JENNIFER ANNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
201 MCLAUGHLIN ST, CURWENSVILLE, PA 16833-1323
(814) 236-2150
Mailing address
201 MCLAUGHLIN ST, CURWENSVILLE, PA 16833-1323
(814) 236-2150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004548L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017481970002
—
PA
Enumeration date
03/30/2007
Last updated
04/01/2013
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