Jennifer Moore, COTA

NPI 1992964639 · on the registry since 2008 · sole proprietor

Practice

Address: 4341 Birch Street
Selective Rehab
Newport Beach, CA 92660
Phone: (949) 475-1002
Fax: (949) 475-1003
Organisation at this address: Ace Consulting Group
Anthony Fedoryk Dc & Edward Reza Jr Dc Professional Chiropractic Corpo
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Also registered as: 224Z00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California