Individual
ASHLEI L MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PERRYMAN ST, LEBANON, IL 62254-1356
(618) 537-6165
Mailing address
108 RIDGE DR, MARYVILLE, IL 62062-5681
(618) 402-9204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004743
IL
Other
Enumeration date
05/07/2007
Last updated
08/08/2009
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