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Individual

MRS. DEBRA LYNN MOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5605 RED OAK TRL, MC FARLAND, WI 53558-8412
(608) 838-4500
Mailing address
918 AUTUMN WOODS LN, OREGON, WI 53575-3226
(608) 444-1218

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4291-24
WI
2251P0200X
Pediatric Physical Therapist
4291-24
WI

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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