NPI 1104270230

Jessica Nicole Moore, COTA

Practitioner Occupational Therapy Assistant Huntsville, AL

Practice location

Address: 500 Markaview Rd NW, Huntsville, AL 35805-3652
Phone: (256) 533-8477
Mailing address: 147 Hazel Trce, Hazel Green, AL 35750-8887

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3360 (AL)

Other Occupational Therapy Assistant providers in Alabama →

Registry record

NPI: 1104270230
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2016
Record last updated: 14 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.