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Search › Texas › 224Z00000X

Jessica Moffett, COTA

NPI 1831610435 · on the registry since 2017 · sole proprietor

Practice

Address
1000 Saint Louis Ave Ste 102
Fort Worth, TX 76104
Phone
(817) 921-5020
Fax
(817) 921-5022
Organisation at this address
Bainbridge Dialysis Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas