Individual provider · Type 1 NPI

Daniel Wayne Moore, COTA

Occupational Therapy Assistant · Selmer, TN

NPI number 1568538486 Active

Practice location

835 E Poplar Ave
Selmer, TN 38375-1832

Mailing address

1510 Woodville Rd
Bethel Springs, TN 38315-4014

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XTN0000000722 (TN)

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 1568538486

Daniel Wayne Moore, COTA's National Provider Identifier is 1568538486, issued on Nov 24, 2006. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Selmer, TN. The record was last updated on Jul 8, 2007.