| Mr Jason Ellis Moore, OTR | |
| 
					35 Edmar Ave, Marietta, OH 45750-7603  | |
| (740) 373-0761 | |
| Not Available | 
| Full Name | Mr Jason Ellis Moore | 
|---|---|
| Gender | Male | 
| Speciality | Occupational Therapist | 
| Location | 35 Edmar Ave, Marietta, Ohio | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093923864 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT.006728 (Ohio) | Primary | 
| 225X00000X | Occupational Therapist | 1318 (West Virginia) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Jason Ellis Moore, OTR 35 Edmar Ave, Marietta, OH 45750-7603 Ph: (740) 373-0761  | Mr Jason Ellis Moore, OTR 35 Edmar Ave, Marietta, OH 45750-7603 Ph: (740) 373-0761  | 
Alexis Palazzo, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 Gross St, Marietta, OH 45750 Phone: 740-374-1422  | |
Taylor Lemasters, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 Gross St, Marietta, OH 45750 Phone: 740-374-1422 Fax: 740-423-3600  | |
Nicole Alexandria Lang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1338 Colegate Dr, Marietta, OH 45750 Phone: 740-373-6669  | |
Alexandria Nikole Bastin, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 Timberline Dr, Marietta, OH 45750 Phone: 740-376-0535  | |
Susan Jahn,  Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1338a Colegate Dr, Marietta, OH 45750 Phone: 740-373-6669 Fax: 740-376-5809  | |
Christal Ann Hilley,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-374-1400  |