Individual
JESSICA MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7215 PARKHURST DR, BLOOMFIELD HILLS, MI 48301-3943
(248) 837-5699
Mailing address
7215 PARKHURST DR, BLOOMFIELD HILLS, MI 48301-3943
(248) 837-5699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201011346
OT
MI
Enumeration date
09/29/2021
Last updated
09/29/2021
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