Individual
MICHELE ANN MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12 BOKUM RD, ESSEX, CT 06426-1500
(860) 767-9035
Mailing address
82 MOUNTAIN EDGE DR, SOUTHINGTON, CT 06489-4615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008415
CT
225100000X
Physical Therapist
011081-1
NY
225100000X
Physical Therapist
22941
CA
Other
Enumeration date
02/17/2010
Last updated
01/16/2011
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