Individual
MS. LESLIE JEAN BAKER-MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1105 E FITZGERALD ST, BANGS, TX 76823-3232
(858) 952-1923
(619) 374-7101
Mailing address
PO BOX 124, TEHUACANA, TX 76686-0124
(254) 625-2942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100155
TX
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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