Individual
JON MOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2225 E CENTENNIAL PKWY STE 106, NORTH LAS VEGAS, NV 89081-5602
(702) 936-7165
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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