Individual
MR. MOSES BWETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
207 MARSHALL DR, PERRY, FL 32347-1835
(850) 584-6334
Mailing address
4320 SUNBEAM RD APT 824, JACKSONVILLE, FL 32257-8838
(904) 402-5568
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12463
FL
Other
Enumeration date
09/19/2012
Last updated
09/20/2012
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