Individual
CLARA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 S CONGRESS AVE STE 301, AUSTIN, TX 78745-4483
(512) 270-2060
Mailing address
7505 N LOOP 1604 E STE 101, LIVE OAK, TX 78233-2799
(210) 590-4000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1371130
TX
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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