Individual
AMBER JISOO MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 LANTERN BEND DR, HOUSTON, TX 77090-2823
(281) 880-7702
Mailing address
11223 STONEY MEADOW DR, HOUSTON, TX 77095-6614
(732) 372-2326
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217428
TX
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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