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Individual

KATY MOSES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
650 S DODSON RD, ROGERS, AR 72758-7015
(479) 407-9626
Mailing address
650 S DODSON RD, ROGERS, AR 72758-7015

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4040
AR

Other

Enumeration date
09/22/2021
Last updated
09/22/2021
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