Moore, Jodi Lynn
Moore, Jodi Lynn is an individual health care provider with primary practice located at 3200 Northline Ave Ste 160, Greensboro NC 27408-7616. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Moore, Jodi Lynn can be contacted via phone (336) 545-5000.Contact Information
Primary practice address
3200 Northline Ave Ste 160
Greensboro NC 27408-7616
Phone: (336) 545-5000
Fax: (336) 545-5020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OC 008606 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 18401 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6526 | North Carolina |
Profile Details
| NPI number | 1770786352 |
|---|---|
| LBN Legal business name | Moore, Jodi Lynn |
| Credentials | OTD, OTR/L, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Feb 6th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770786352 | NPPES |
| North Carolina | Other | 6526 | NC BOARD OCCUPATIONAL THERAPY |
| North Carolina | Other | PTAN Q40482A | NC BOARD OCCUPATIONAL THERAPY |
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