Individual
TAYLOR MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTA
Contact information
Practice address
600 REUNION CT, GRANBURY, TX 76048-1610
(214) 773-7954
Mailing address
2811 WILLOW RIDGE CIR, GRANBURY, TX 76049-7063
(214) 773-7954
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210975
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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