Individual
BRANDICE MARIE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
855 E BASSE RD, SAN ANTONIO, TX 78209-1890
(210) 930-1040
Mailing address
2742 CINNAMON TEAL, NEW BRAUNFELS, TX 78130-1256
(210) 857-9133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210517
TX
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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