Individual
MARIANA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 HIGHWAY 98 BYP, COLUMBIA, MS 39429-3702
(601) 444-5050
(601) 444-5072
Mailing address
42465 HIGHWAY 195, HALEYVILLE, AL 35565-7052
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8056
MS
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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