Individual provider · Type 1 NPI

Jessica Nicole Moore, COTA

Occupational Therapy Assistant · Huntsville, AL

NPI number 1104270230 Active

Practice location

500 Markaview Rd NW
Huntsville, AL 35805-3652

Mailing address

147 Hazel Trce
Hazel Green, AL 35750-8887

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X3360 (AL)

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 1104270230

Jessica Nicole Moore, COTA's National Provider Identifier is 1104270230, issued on Apr 14, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Huntsville, AL. The record was last updated on Apr 14, 2016.