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Individual

DR. ERICK TAI SOONG MOON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
525 S CHANDLER VILLAGE DR, CHANDLER, AZ 85226-5069
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31878
AZ
225100000X
Physical Therapist
PT-4719
HI
2251X0800X
Orthopedic Physical Therapist
295551
CA
2251X0800X
Orthopedic Physical Therapist
31878
AZ

Other

Enumeration date
01/03/2019
Last updated
08/30/2024
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