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Individual

DEEPA MOSES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
820 SMALL ST, GRAND PRAIRIE, TX 75050-5856
(972) 262-1351
Mailing address
1472 PREAKNESS DR, IRVING, TX 75060-4718
(214) 477-1983

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
110787
TX

Other

Enumeration date
08/10/2018
Last updated
08/10/2018
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