Individual
MS. MELISSA MOOS
Active
Individual
MS. MELISSA MOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THRAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1169202
TX
225100000X
Physical Therapist
Primary
2519
NE
225100000X
Physical Therapist
2619
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025372500
—
NE
Enumeration date
05/10/2007
Last updated
03/05/2008
Update your record
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