Individual
DYLAN RICHARD MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
8223 HIGHWAY 7, ST LOUIS PARK, MN 55426-3904
(952) 838-0660
(952) 314-5434
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10918
MN
Other
Enumeration date
09/24/2017
Last updated
07/10/2023
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