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

Jordan Nicole Moore

Individual provider Occupational Therapy Assistant · NPI 1336083088

Jordan Nicole Moore is an Occupational Therapy Assistant in Lima, Ohio. Licensed in Ohio. Registered with an NPI since 2026.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

1920 Slabtown Rd
Lima, OH 45801-3309
Phone: (419) 303-6436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA006231 (OH)

Record details

NPI number1336083088
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address4170 Road 151, Grover Hill, OH 45849-9322

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