Individual
MRS. BRITTANY NICOLE MOJICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
107 STACY DR, WHITEHOUSE, TX 75791-3740
(903) 839-5050
Mailing address
600 GARLAND ST, CARTHAGE, TX 75633-2956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4731149
—
TX
Enumeration date
12/19/2018
Last updated
12/19/2018
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