Individual
MR. ADAM MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 W 69TH ST, SUITE 105, SIOUX FALLS, SD 57108-2438
(605) 331-0044
(605) 331-0088
Mailing address
101 W 69TH ST, SUITE 105, SIOUX FALLS, SD 57108-2438
(605) 331-0044
(605) 331-0088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1469
SD
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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