Moule, Jessica M

Moule, Jessica M is an sole proprietor health care provider with primary practice located at 11628 Sw 50Th Ct , Cooper City FL 33330-4414. 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 / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Moule, Jessica M can be contacted via phone (305) 335-3263.

Contact Information

Primary practice address
11628 Sw 50Th Ct Cooper City FL 33330-4414
Phone: (305) 335-3263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT12225 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X OT12225 Florida

Profile Details

NPI number 1871669606
LBN Legal business name Moule, Jessica M
Credentials OTR-L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Aug 29th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871669606 NPPES
Florida MEDICAID 891592000

Popular Providers