Individual provider · Type 1 NPI

Kelvin Moore, OT

Occupational Therapist · Ridgeland, MS

NPI number 1194987529 Active

Practice location

711 Avignon Dr
Ridgeland, MS 39157-5120

Call (601) 605-6777 Map

Fax (601) 605-8869

Mailing address

PO Box 22
Senatobia, MS 38668-0022

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT2229 (MS)

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 1194987529

Kelvin Moore, OT's National Provider Identifier is 1194987529, issued on Jun 26, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Ridgeland, MS. The record was last updated on Aug 25, 2022.