Individual
MRS. JENNIFER MOREAU JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2957
Mailing address
3818 W DOVER DR, FLORENCE, SC 29501-7711
(843) 669-2202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2392
SC
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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