Jaclyn Marie Moore

NPI #1114428364 in Taylor, Michigan

Provider Information

NPI Number: 1114428364
Entity Type: Individual
Name: Jaclyn Marie Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist - Physical Rehabilitation
Enumeration Date: Feb 23, 2018
Last Updated: Feb 23, 2018

Practice Location

Address: 10000 TELEGRAPH RD
City: Taylor
State: Michigan
ZIP Code: 48180-3330
Phone: (248) 408-5103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X	Primary

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Organizations

Provider Name	Specialty	City
Occupational Therapy Services, Inc.	Occupational Therapist - Physical Rehabilitation	Hamburg	AI Deep Dive

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