Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACEY MATTISON MOORE, OTR/L
Active Sole ProprietorMRS. JACEY MATTISON MOORE, OTR/L is a Occupational Therapist healthcare provider located in ELDRIDGE, Alabama. NPI 1619677622 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ELDRIDGE, AL
Registration Details
- NPI Number
- 1619677622
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2023 (3.418496572824 yrs)
- Last Updated
- Apr 3, 2023
- License
-
6104 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
238 BEREA RDELDRIDGE, AL, 355544200Browse AL providers · Browse ZIP 35554
- Phone
- 2052709025
- Primary Specialty
-
Occupational Therapist
225X00000X
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.