Individual
MEAGAN MARIE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
318 CARSON ST, PHILADELPHIA, PA 19128-4803
(609) 221-8053
Mailing address
318 CARSON ST, PHILADELPHIA, PA 19128-4803
(609) 221-8053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT018464
PA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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