Individual
JESSICA MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 18TH AVE, GREELEY, CO 80631-5134
(970) 353-3370
Mailing address
14203 COUNTY ROAD 452 UNIT 3, LINDALE, TX 75771-4210
(903) 570-0247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215506
TX
224Z00000X
Occupational Therapy Assistant
OTA.0000970
CO
Other
Enumeration date
01/31/2018
Last updated
01/01/2019
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