| Candice M Moore, OTR L | |
|
4500 Interstate 55 North, Suite 291, Highland Village, Jackson, MS 39211 | |
| (601) 362-0859 | |
| (601) 362-0870 |
| Full Name | Candice M Moore |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4500 Interstate 55 North, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174699011 | NPI | - | NPPES |
| 05170357 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1713 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Candice M Moore, OTR L 766 Clearmont Dr, Pearl, MS 39208-6261 Ph: () - | Candice M Moore, OTR L 4500 Interstate 55 North, Suite 291, Highland Village, Jackson, MS 39211 Ph: (601) 362-0859 |
Barbara A Wiggins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Northtown Dr, Suite 110 Trinity Rehab, Jackson, MS 39211 Phone: 601-206-9195 Fax: 601-957-8391 | |
Dayna Michelle Lombas, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Northtown Dr, Trinity Rehab Suite 110, Jackson, MS 39211 Phone: 601-206-9195 Fax: 601-957-8391 | |
Jamie M Austin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 I 55 N, Suite 291, Highland Village, Jackson, MS 39211 Phone: 601-362-0859 | |
Mrs. Sallie Gardner Metcalf, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N State St Ste 210, Jackson, MS 39202 Phone: 662-242-0377 | |
Niesha Lasha Gilmore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 519 Scott St, Jackson, MS 39203 Phone: 601-951-7458 | |
Dr. Cozetta Marie Mcmillian, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Meadow Ln, Jackson, MS 39212 Phone: 601-209-6453 | |
Autumn B Tamor, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1417 Lelia Dr, Jackson, MS 39216 Phone: 601-551-5612 |