Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE M. MOORE, OTR L
Active Sole ProprietorCANDICE M. MOORE, OTR L is a Occupational Therapist healthcare provider located in JACKSON, Mississippi. NPI 1174699011 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · JACKSON, MS
Registration Details
- NPI Number
- 1174699011
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2006 (19.677654798802 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OT1713 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4500 INTERSTATE 55 NORTHSUITE 291, HIGHLAND VILLAGEJACKSON, MS, 39211Browse MS providers · Browse ZIP 39211
- Phone
- 6013620859
- Fax
- 6013620870
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| KENYA DELISA WEATHERSPOON | OT | 1871533042 |
| PHYLLIS SMITH-BOWEN | OTR/L | 1427086792 |
| MRS. HELEN LEIGH STOKES | OTR/L | 1326054875 |
| MRS. CECILIA D FOWLER | OT | 1306930680 |
| ANDRE' BADELLE ROBINSON | OTR/L | 1134218076 |
| AMELIA BARBARA EDWARDS | OTR | 1366518714 |
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.