Individual
NICHOLAS MOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSOCIATES DEGREE
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4225
Mailing address
355 GEORGETOWN LOOP, NEWPORT NEWS, VA 23608-2773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604096
VA
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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