Jaclyn Marie Moore
Occupational Therapist - Physical Rehabilitation
10000 Telegraph Rd
Taylor
, Michigan 48180-3330
Jaclyn Marie Moore
Occupational Therapist - Physical Rehabilitation
10000 Telegraph Rd
Taylor
, Michigan 48180-3330
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Jaclyn Marie Moore
- 2315 Hamata St
- Ferndale, MI
- Zip : 48220-1549
- Phone :
Second Address
- Jaclyn Marie Moore
- 10000 Telegraph Rd
- Taylor, MI
- Zip : 48180-3330
- Phone : (248) 408-5103
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
National Provider Identifier
| NPI | 1114428364 |
|---|---|
| Provider Name | Jaclyn Marie Moore |
| First Address | Ferndale, MI 48220-1549 |
| Second Address | Taylor, MI 48180-3330 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2018 |
| Last Update Date | 23/02/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.