Jessica Diane Moss COTA

NPI 1063859031 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1063859031
Gender Female
Enumeration Date 05/30/2013
Last Updated 05/30/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
110 FORESTDALE DR
GAFFNEY SC, 29341-2625, US
Phone (864) 706-6729
Fax
Business Location
110 FORESTDALE DR
GAFFNEY SC, 29341-2625, US
Phone (864) 706-6729
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State South Carolina
License Number 2993
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According to our database, Miss Jessica Diane Moss COTA NPI is 1063859031, taxonomy code is 224Z00000X and license number is 2993, license state is located at South Carolina. Jessica Diane Moss COTA physically located at 110 Forestdale Dr, Gaffney SC, 29341-2625. NPI Number Jessica Diane Moss COTA has the Individual type.

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1063859031 NPI number is provided on an as is basis without warranty of any kind. 1063859031 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Diane Moss COTA are for informational purposes only.