MR. Jason Ellis Moore, OTR

NPI #1093923864 in Marietta, Ohio

Provider Information

NPI Number
1093923864
Entity Type
Individual
Name
MR. Jason Ellis Moore, OTR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR
Enumeration Date
May 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
35 EDMAR AVE
State
Ohio
ZIP Code
45750-7603
Phone
(740) 373-0761

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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