Individual
RENEE MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8930 ENGLEWOOD FARMS DR, MANASSAS, VA 20112-5884
(703) 328-8839
Mailing address
8930 ENGLEWOOD FARMS DR, MANASSAS, VA 20112-5884
(703) 328-8839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000397
VA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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