Female

Ms. Jessica M. Moule OTR-L

Occupational Therapist in Cooper City, FL(View on Map)

Full Name

Ms. Jessica M Moule OTR-L

NPI Number

1871669606

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/24/2006

Specialties

(Taxonomies)

Code

225X00000X
222Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

OT12225

Contact
Information

Purpose

Mailing
Location

Address

11628 SW 50TH CT
11628 SW 50TH CT

City

Cooper City
Cooper City

State

FL
FL

Postal Code

33330-4414
33330-4414

Country

US
US

Telephone Number

N/A
(305) 335-3263

Identifiers

Identifier

891592000

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/29/2012

Provider Address

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