Individual provider · Type 1 NPI

Cory Ryan Moore

Occupational Therapy Assistant · Edmond, OK

NPI number 1952802167 Active

Practice location

13501 N Bryant Ave
Edmond, OK 73013-6242

Mailing address

12390 Autumn Brk
Guthrie, OK 73044-7593

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X864 (OK)

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 1952802167

Cory Ryan Moore's National Provider Identifier is 1952802167, issued on Feb 22, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Edmond, OK. The record was last updated on Feb 22, 2018.