Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER LYNN MOORE, COTA
Active Sole ProprietorMRS. JENNIFER LYNN MOORE, COTA is a Occupational Therapy Assistant healthcare provider located in NEWPORT BEACH, California. NPI 1992964639 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1992964639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2008 (18.230068243706 yrs)
- Last Updated
- Jul 14, 2009
- Licenses
-
864 (CA)OTA864 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4341 BIRCH STREETSELECTIVE REHABNEWPORT BEACH, CA, 92660Browse CA providers · Browse ZIP 92660
- Phone
- 9494751002
- Fax
- 9494751003
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL DEROSE | COTA/L | 1417581646 |
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.