Candice M. Moore
OTR L | Occupational Therapist
4500 Interstate 55 North, Suite 291, Highland Village, Jackson
Mississippi, 39211
601-362-0859 601-362-0870
Maps & DirectionsCandice M. Moore is a Jackson, Mississippi based therapist who is specialized in Occupational Therapy. Active license number of Candice M. Moore is OT1713 for Occupational Therapy in Mississippi. Her current practice location is 4500 Interstate 55 North, Suite 291, Highland Village, Jackson. Patients can reach her at 601-362-0859 or can fax her at 601-362-0870. Candice M. Moore is OTR L in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1174699011.
Candice M. Moore provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Candice M. Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Candice M. Moore |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR L |
| Practice Address: | 4500 Interstate 55 North, Suite 291, Highland Village, Jackson,
Mississippi, 39211 |
| Phone: | 601-362-0859 |
| Fax: | 601-362-0870 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174699011 |
| NPI Enumeration Date: | 24 Nov, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Candice M. Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| OT1713 | Occupational Therapy | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Candice M. Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 05170357 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Candice M. Moore
766 Clearmont Dr,
Pearl, Mississippi |
| Zip: | 39208-6261 |
Patients can reach Candice M. Moore at
4500 Interstate 55 North, Suite 291, Highland Village, Jackson, Mississippi or can
call to book an appointment on 601-362-0859.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.