Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 117863 | TX |
NPI | 1285136150 |
---|---|
Provider Name | Claire Renee Mosley |
First Address | Houston, TX 77018-5109 |
Second Address | Houston, TX 77049-2528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2018 |
Last Update Date | 06/03/2018 |