Individual provider · Type 1 NPI

Raphael Moore

Occupational Therapy Assistant · Lancaster, CA

NPI number 1013306539 Active

Practice location

1642 W Avenue J
Lancaster, CA 93534-2814

Mailing address

42422 Marsuerite Way
Lancaster, CA 93536-4561

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2102 (CA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1013306539

Raphael Moore's National Provider Identifier is 1013306539, issued on Jan 21, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lancaster, CA. The record was last updated on Jan 21, 2015.