Individual
JENNIFER MOSQUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2505 E VILLA MARIA RD, BRYAN, TX 77802-2038
(979) 776-3863
Mailing address
16273 FM 3090 RD, ANDERSON, TX 77830-5606
(979) 776-3863
(979) 776-3863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006896
TX
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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