Individual
TIMOTHY PATRICK MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.P.T.
Contact information
Practice address
500 GREENBRIER DR, CHARLOTTESVILLE, VA 22901-1682
(434) 982-3312
Mailing address
402 EASTBROOK DR, CHARLOTTESVILLE, VA 22901-1116
(434) 872-3312
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305005083
VA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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