Individual
BRISSA CELESTE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1351 N ZARAGOZA RD BLDG H, EL PASO, TX 79936-7902
(915) 257-5782
Mailing address
5245 JOSE CARDENAS LN, EL PASO, TX 79912-6920
(915) 259-5961
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218070
TX
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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