Individual
TAYLOR RENE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 S BRAESWOOD BLVD, HOUSTON, TX 77025-3307
(713) 666-2651
Mailing address
195 N CREEK DR APT 1206, SUMMERVILLE, SC 29486-5344
(915) 352-0402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217075
TX
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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