Individual
BRENDA SOFIA MORENO BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
18640 I.H. 635, SUITE 200, MESQUITE, TX 75150
(972) 303-7021
Mailing address
305 NE LOOP 280 BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115474
TX
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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