Individual
MARY MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 CORONA DR, STE. 234, CORPUS CHRISTI, TX 78411-4324
(361) 854-1110
(361) 854-7910
Mailing address
4444 CORONA DR, STE. 234, CORPUS CHRISTI, TX 78411-4324
(361) 854-1110
(361) 854-7910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
233401
TX
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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