Individual
SANDRA MICHELLE MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2717 SE 36TH ST, OCALA, FL 34471-6839
(352) 586-6313
Mailing address
2717 SE 36TH ST, OCALA, FL 34471-6839
(352) 586-6313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22525
FL
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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