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1831610435
JESSICA MICHELLE MOFFETT
FORT WORTH, TX
NPI
1831610435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214637)
Enumeration Date
2017-07-05
Last Update Date
2017-07-05
Business Address
JESSICA MICHELLE MOFFETT COTA
1000 SAINT LOUIS AVE STE 102
FORT WORTH, TX 76104-3377
Phone number: 817-921-5020
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Mailing Address
JESSICA MICHELLE MOFFETT COTA
1000 SAINT LOUIS AVE STE 102
FORT WORTH, TX 76104-3377
Phone number: 817-921-5020
Copy
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