Individual
COREY JORDAN MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
142 BERMUDA VILLAGE DR, BERMUDA RUN, NC 27006-7867
(336) 998-6112
Mailing address
1596 WESTLAND LN, CLEMMONS, NC 27012-9715
(336) 501-0415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A5319
NC
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/30/2018
Last updated
12/30/2018
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