Individual
MARIA L. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
16911 SAN PEDRO AVE, SAN ANTONIO, TX 78232-2244
(210) 495-9340
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202168
TX
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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