MEDICARE: JENNIFER MOSLEY-GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	124163	TX

General Provider Information

NPI Number	:	1730953969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MOSLEY-GARCIA

Provider Business Mailing Address
First Line	:	4114 BENDWOOD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-2701
Country	:	US
Telephone Number	:	760-453-4817
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 MIDWAY RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6121
Country	:	US
Telephone Number	:	972-456-9196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	11/08/2023

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