Individual
MR. LEONID MOSHKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
108 E CORRAL AVE, SOLDOTNA, AK 99669-7524
(907) 260-5893
Mailing address
108 E CORRAL AVE, SOLDOTNA, AK 99669-7524
(907) 260-5893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1455
AK
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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