Individual
MICHELLE MOREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ATC/LAT
Contact information
Practice address
18952 E FISHER RD, ST MARYS CITY, MD 20686
(240) 895-4417
(240) 895-4480
Mailing address
271 FOREST HILLS DR, LURAY, VA 22835-9106
(802) 324-3233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001004
MD
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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