Individual
MIA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
922 E EMMA AVE, SPRINGDALE, AR 72764-4503
(479) 770-0788
Mailing address
4536 W HAVANA AVE, FAYETTEVILLE, AR 72704-4042
(479) 841-7018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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