MRS. Jennifer Rebecca Moore, A.T., C., M.ED.
NPI #1578589263 in Oxford, Mississippi
Provider Information
- NPI Number
- 1578589263
- Entity Type
- Individual
- Name
- MRS. Jennifer Rebecca Moore, A.T., C., M.ED.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T., C., M.ED.
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1190 S 18TH STREET EXT
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655-5378
- Phone
- (662) 234-0424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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