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Individual

MATTHEW J MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
225000 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390
Mailing address
225000 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12501
WI
225100000X
Physical Therapist
Primary
12501-24
WI

Other

Enumeration date
08/05/2013
Last updated
03/27/2020
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