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Individual

BARBARA L MOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
203 E DALKE AVE, SPOKANE, WA 99208-8112
(509) 483-8228
(509) 483-8338
Mailing address
203 E DALKE AVE, SPOKANE, WA 99208-8112
(509) 483-8228
(509) 483-8338

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008140
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB3601
RR MEDICARE GROUP
WA
01
G8800296
MEDICARE GROUP NUMBER
WA
01
P00410141
RR MEDICARE
WA
Enumeration date
12/05/2006
Last updated
11/15/2013
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