Individual
JANAE MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
606 5TH ST NE, DILWORTH, MN 56529-1125
(218) 287-8078
Mailing address
606 5TH ST NE, DILWORTH, MN 56529-1125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A38
MN
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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