Individual
DR. LIANE ELIZABETH MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 CRAFTS ST STE 570, NEWTONVILLE, MA 02458-1282
(617) 965-8070
Mailing address
29 CRAFTS ST STE 570, NEWTONVILLE, MA 02458-1282
(617) 965-8070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462262345
WELLBRIDGE PHYSICAL THERAPY TAX IDENTIFICATION NUMBER
MA
Enumeration date
07/12/2016
Last updated
07/12/2016
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