Individual provider · Type 1 NPI
Jason Ellis Moore, OTR
Occupational Therapist · Marietta, OH
Practice location
35 Edmar Ave
Marietta, OH 45750-7603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT.006728 (OH) |
| Occupational Therapist | 225X00000X | 1318 (WV) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
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About NPI 1093923864
Jason Ellis Moore, OTR's National Provider Identifier is 1093923864, issued on May 17, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Marietta, OH. The record was last updated on Jul 8, 2007.