Individual
TRINITY MORENO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2251 DOUBLE CREEK DR STE 304, ROUND ROCK, TX 78664-3831
(512) 246-0220
Mailing address
2712 SANTA BONITA LN, ROUND ROCK, TX 78665-3498
(512) 246-0220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2124227
TX
225700000X
Massage Therapist
Primary
MT114606
TX
Other
Enumeration date
03/04/2024
Last updated
05/13/2026
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