Individual
LUISA FERNANDA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 WESTPARK DR, SUIT 100, HOUSTON, TX 77063-5277
(713) 528-3030
Mailing address
2601 WOODLAND PARK DR, APT 8115, HOUSTON, TX 77077-6161
(832) 373-0593
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1216295
TX
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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