Jennifer Mosqueda, PTA

NPI #1356530489 in Bryan, Texas

Provider Information

NPI Number: 1356530489
Entity Type: Individual
Name: Jennifer Mosqueda, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 15, 2007
Last Updated: Oct 15, 2007

Practice Location

Address: 2505 E VILLA MARIA RD
City: Bryan
State: Texas
ZIP Code: 77802-2038
Phone: (979) 776-3863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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