Individual provider · Type 1 NPI

Jacey Mattison Moore, OTR/L

Occupational Therapist · Eldridge, AL

NPI number 1619677622 Active

Practice location

238 Berea Rd
Eldridge, AL 35554-4200

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X6104 (AL)

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…

About NPI 1619677622

Jacey Mattison Moore, OTR/L's National Provider Identifier is 1619677622, issued on Mar 8, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Eldridge, AL. The record was last updated on Apr 3, 2023.