Candice M. Moore, OTRL
Candice M. Moore, OTRL is an Occupational Therapist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
4500 Interstate 55 N Ste 291 Highland VillageJackson, MS 39211
Phone: (601) 362-0859
Fax: (601) 362-0870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT1713 (MS) |
|---|
Record details
| NPI number | 1174699011 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTRL |
| Sole proprietor | Yes |
| NPI enumerated | November 24, 2006 |
| Last updated in NPPES | July 8, 2007 |
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