Individual
MISS ALEXA MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 TALL OAKS DR, EAST BRUNSWICK, NJ 08816-3429
(404) 308-0565
Mailing address
31 TALL OAKS DR, EAST BRUNSWICK, NJ 08816-3429
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019895
NY
Other
Enumeration date
08/05/2015
Last updated
09/15/2015
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