Individual
ELSA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17301 IH-35 N #101, BUDA, TX 78610-6418
(512) 994-4115
Mailing address
17301 IH-35 N #101, BUDA, TX 78610-6418
(512) 994-4115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118368
TX
Other
Enumeration date
02/20/2018
Last updated
02/25/2020
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