Individual
ADRIAN JAMES MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1216 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-2315
(304) 907-0227
(304) 907-2730
Mailing address
1500 GRAND CENTRAL AVE STE 101, VIENNA, WV 26105-1079
(304) 693-2781
(304) 693-2171
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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