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1023798576
TERRA MOORE
SAN ANTONIO, TX
NPI
1023798576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 217528)
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
TERRA MOORE
16400 BLANCO RD
SAN ANTONIO, TX 78232-1902
Phone number: 210-572-4954
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Mailing Address
TERRA MOORE
12522 N POINTE RD
WINONA, TX 75792-6234
Phone number: 903-570-0423
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