Individual
ALLYSON LEIGH MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
6515 BARRIE RD STE 100, EDINA, MN 55435-2364
(952) 922-5019
Mailing address
3036 W LAKE ST UNIT 333, MINNEAPOLIS, MN 55416-5242
(563) 543-3875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10917
MN
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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