Candice Moore, OTR/L

NPI #1538565106 in Grenada, Mississippi

Provider Information

NPI Number: 1538565106
Entity Type: Individual
Name: Candice Moore, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Nov 10, 2014
Last Updated: Nov 10, 2014

Practice Location

Address: 105A WINDMILL CV
City: Grenada
State: Mississippi
ZIP Code: 38901-9305
Phone: (662) 299-6918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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