Individual
SHANNON MOREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8668 FM 1370, WASHINGTON, TX 77880-6314
(832) 603-2216
Mailing address
147 APRIL POINT PL, MONTGOMERY, TX 77356-5933
(832) 603-2216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212677
TX
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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