Individual
COREY JORDAN MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
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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