Individual provider · Type 1 NPI

Jennifer Lynn Moore, COTA

Occupational Therapy Assistant · Newport Beach, CA

NPI number 1992964639 Active

Practice location

4341 Birch Street, Selective Rehab
Newport Beach, CA 92660

Fax (949) 475-1003

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X864 (CA)
Occupational Therapy Assistant Primary 224Z00000XOTA864 (CA)

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 1992964639

Jennifer Lynn Moore, COTA's National Provider Identifier is 1992964639, issued on Jun 6, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 14, 2009.