Individual
JOHN MOOSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1521 CARLISLE AVE, RICHMOND, VA 23231-1528
(804) 615-2221
Mailing address
1521 CARLISLE AVE, RICHMOND, VA 23231-1528
(804) 615-2221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006221
VA
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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