Individual
DANETTE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3201 W PEORIA AVE, SUITE B-408, PHOENIX, AZ 85029-4608
(602) 795-8441
(602) 795-8447
Mailing address
PO BOX 6570, PEORIA, AZ 85385-6570
(623) 398-8072
(623) 398-8235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10942
AZ
Other
Enumeration date
07/14/2014
Last updated
04/10/2015
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