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Individual
MRS. MARIA I MORENO
Active
Individual
MRS. MARIA I MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4956
CT
2251G0304X
Geriatric Physical Therapist
4956
CT
2251H1200X
Hand Physical Therapist
4956
CT
2251P0200X
Pediatric Physical Therapist
4956
CT
2251S0007X
Sports Physical Therapist
4956
CT
2251X0800X
Orthopedic Physical Therapist
4956
CT
Other
Enumeration date
02/19/2007
Last updated
05/06/2019
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