Individual
MRS. NANCY MOSES-COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
408 W IOWA ST, HOLBROOK, AZ 86025-2438
(928) 524-2740
Mailing address
408 W IOWA ST, HOLBROOK, AZ 86025-2438
(928) 524-2740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399982
—
AZ
Enumeration date
01/22/2007
Last updated
07/09/2007
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