Individual
MONICA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9650 KENWORTHY ST, EL PASO, TX 79924-6011
(915) 751-0967
Mailing address
299 KINGSPOINT DR APT 74, EL PASO, TX 79912-6508
(915) 787-9450
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213932
TX
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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