Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candice Moore, OTR/L

Individual provider Occupational Therapist · NPI 1538565106

Candice Moore, OTR/L is an Occupational Therapist in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in
MS
In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

105A Windmill Cv
Grenada, MS 38901-9305
Phone: (662) 299-6918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1829 (MS)

Record details

NPI number1538565106
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 10, 2014
Last updated in NPPESNovember 10, 2014

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