Most Relevant Information
Provider Data
| NPI Number: | 1003568916 |
| Provider Name: | KATHERINE MOOS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 122300 |
Most Important Dates
| Enumeration Date: | 01/21/2022 |
| Last Updated: | 01/21/2022 |
Provider Practice Location
5300 ALTAMESA BLVD
FORT WORTH
TX
761335924
Practice Location Phone/Fax
| Phone: | 8173461800 |
| Fax: |
Provider Mailing Location
5300 ALTAMESA BLVD
FORT WORTH
TX
761335924
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |