Individual
BRENDA W. MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
459 KELLER PARKWAY, MIMOSA MANOR, KELLER, TX 76248
(817) 431-2518
Mailing address
918 CAT HOLLOW CT, KELLER, TX 76248-3243
(817) 581-4888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1050334
TX
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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