Joy Moreland, OTA

Individual provider Active NPI Occupational Therapy Assistant · De Berry, TX

NPI 1831708882 · NPPES record last updated Jul 27, 2020

Key facts

NPI
1831708882
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
210352 (TX)
Practice address
5782 FM 1794 E
De Berry, TX 75639-2240
Phone
(903) 690-1486
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
210352TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 210352 TX Yes

Addresses

Primary practice location

5782 FM 1794 E
De Berry, TX 75639-2240

Mailing address

5782 FM 1794 E
De Berry, TX 75639-2240
Phone (903) 690-1486

Other names

  • Joy Moreland Professional name

Other providers in De Berry, TX

All providers in De Berry, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.