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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JASON ELLIS MOORE, OTR

Active Sole Proprietor

MR. JASON ELLIS MOORE, OTR is a Occupational Therapist healthcare provider located in MARIETTA, Ohio. NPI 1093923864 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MARIETTA, OH

Registration Details

NPI Number
1093923864
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2007 (19.204814612621 yrs)
Last Updated
Jul 8, 2007
Licenses
OT.006728 (OH)
1318 (WV)
Sole Proprietor
Yes

Practice Information

Address
35 EDMAR AVE
MARIETTA, OH, 457507603
Browse OH providers · Browse ZIP 45750
Phone
7403730761
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in MARIETTA, OH

Name Credential NPI
DEEPAK CURTIN OTR 1497917710
MRS. DENEE MARIE BURTON MS OTR/L 1649515891
RACHEL ANN KONKLER OTR/L 1992040851
JENA MILEY 1942630892
ADRIENNE HARMON OTR 1639545908
EMILY MORTINIER OTR 1699141952
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.