SHANESA MOFFETT

DALLAS, TX
NPI1255729232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  116331)
Enumeration Date2014-12-29
Last Update Date2014-12-29
Business Address
-- SHANESA MOFFETT
4200 LIVE OAK ST
DALLAS, TX 75204-6733
Phone number: 214-821-0050
Mailing Address
-- SHANESA MOFFETT
1500 PRESTON RD APT 2007
PLANO, TX 75093-5131
Phone number: 972-836-5688