Individual
INDIRA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2058 S STATE ST, ANN ARBOR, MI 48104-4786
(734) 913-0300
Mailing address
1832 VINEWOOD BLVD, UNIT 2, ANN ARBOR, MI 48104-3610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017991
MI
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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