Individual provider · Type 1 NPI

Grace Ann Moore

Occupational Therapy Assistant · New Boston, OH

NPI number 1104731074 Active

Practice location

522 Glenwood Ave
New Boston, OH 45662-5505

Call (740) 354-7761 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA007978 (OH)

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 1104731074

Grace Ann Moore's National Provider Identifier is 1104731074, issued on Aug 17, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in New Boston, OH. The record was last updated on Aug 17, 2026.