Individual
HEATHER MARIE MOSKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3550 MAIN ST STE 102, SPRINGFIELD, MA 01107-1078
(413) 788-6195
Mailing address
3550 MAIN ST STE 102, SPRINGFIELD, MA 01107-1078
(413) 788-6195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23460
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23460
PHYSICAL THERAPY LICENSE
MA
Enumeration date
02/12/2018
Last updated
04/01/2020
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