Individual
MRS. DEBORAH THIESSEN MOSCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3728 LILAC DR, PORTSMOUTH, VA 23703
(757) 397-7550
Mailing address
3728 LILAC DR, PORTSMOUTH, VA 23703
(757) 397-7550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601793
VA
Other
Enumeration date
10/19/2007
Last updated
07/30/2010
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