Individual
MRS. JANE RUTH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
500 EVERGREEN DR STE 10, GLEN MILLS, PA 19342-1032
(610) 768-1669
Mailing address
PO BOX 34990, BELFAST, ME 04915-0627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC005443L
PA
225XH1200X
Hand Occupational Therapist
Primary
OC005443L
PA
Other
Enumeration date
10/04/2006
Last updated
06/24/2024
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