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Individual

ADRIAN JAMES MOSES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002243
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2447472
OH
05
7303127000
WV
01
P00194835
RAILROAD MEDICARE
Enumeration date
07/31/2006
Last updated
02/09/2021
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