Mrs. Jill Marie Moore
Occupational Therapist - Physical Rehabilitation
105 Boehm Dr
Shiner
, Texas 77984-6288
Mrs. Jill Marie Moore
Occupational Therapist - Physical Rehabilitation
105 Boehm Dr
Shiner
, Texas 77984-6288
(361) 594-3033
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Jill Marie Moore
- 105 Boehm Dr
- Shiner, TX
- Zip : 77984-6288
- Fax : (361) 594-3033
- Phone : (361) 594-8301
Second Address
- Mrs. Jill Marie Moore
- 105 Boehm Dr
- Shiner, TX
- Zip : 77984-6288
- Fax : (361) 594-3033
- Phone : (361) 594-8301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 113675 | TX |
National Provider Identifier
| NPI | 1366847899 |
|---|---|
| Provider Name | Mrs. Jill Marie Moore |
| First Address | Shiner, TX 77984-6288 |
| Second Address | Shiner, TX 77984-6288 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2014 |
| Last Update Date | 27/10/2014 |
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.