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Individual
DEEALICE MOTON
Active
Individual
DEEALICE MOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
9071
SC
208100000X
Physical Medicine & Rehabilitation Physician
MAS.9071
SC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
9071
SC
208VP0014X
Interventional Pain Medicine Physician
9071
SC
225400000X
Rehabilitation Practitioner
Primary
9071
SC
225700000X
Massage Therapist
MT007357
GA
Other
Enumeration date
02/14/2012
Last updated
01/09/2025
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