THOMAS RYAN MOSS

SHREVEPORT, LA
NPI1780397901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  333138)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: TX  123285)
Enumeration Date2023-01-03
Last Update Date2023-01-03
Business Address
THOMAS RYAN MOSS LOTR
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
THOMAS RYAN MOSS LOTR
321 N ELM ST LOT 65
HAUGHTON, LA 71037-8787
Phone number: 318-422-0486
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