Individual
MRS. ELLEN MARIE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7090 COVENANT WOODS DR, MECHANICSVILLE, VA 23111-7025
(804) 559-8936
Mailing address
14101 SHAWHAN PL, MIDLOTHIAN, VA 23114-3306
(804) 594-7239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205421
VA
Other
Enumeration date
06/11/2007
Last updated
10/07/2014
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