Individual
STEVE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
418 W CLEVELAND RD, GRANGER, IN 46530-5638
(574) 271-8424
(574) 271-8425
Mailing address
418 W CLEVELAND RD, GRANGER, IN 46530-5638
(574) 271-8424
(574) 271-8425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013449A
IN
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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