Individual
MRS. JENNIFER KATHERINE MOYANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5700 N PORTLAND AVE, SUITE 310, OKLAHOMA CITY, OK 73112-1668
(405) 314-6642
(405) 601-9184
Mailing address
5700 N PORTLAND AVE, SUITE 310, OKLAHOMA CITY, OK 73112-1668
(405) 314-6642
(405) 601-9184
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
957
OK
Other
Enumeration date
05/03/2012
Last updated
06/18/2012
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