Individual
VALERIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
143 DIAMOND RIDGE LN, WEATHERFORD, TX 76087-4231
(817) 599-6525
Mailing address
143 DIAMOND RIDGE LN, WEATHERFORD, TX 76087-4231
(817) 599-6525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208166
TX
Other
Enumeration date
01/18/2014
Last updated
05/18/2014
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