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Individual
AMY T MOORADIAN
Active
Individual
AMY T MOORADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009106
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050513332
CCN
RI
01
—
103959900
DLWC
RI
01
—
26848
BLUE CROSS BLUE SHIELD RI
RI
01
—
268480
BLUE CROSS PROVIDER NUMBE
RI
01
—
411015
BLUE CHIP RI
RI
01
—
5669517
COVENTRY HEALTH FIRST HEA
RI
01
—
779850
AETNA
RI
01
—
9378895
GUARDIAN
RI
01
—
AA1566
PILGRIM
RI
01
—
P00322419
MEDICARE RAILROAD
RI
Enumeration date
09/23/2005
Last updated
12/16/2021
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