Individual
ANDREW MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2448 S 102ND ST, MILWAUKEE, WI 53227-2466
(414) 329-2500
Mailing address
W9533 YANKEE HOLLOW RD, BLANCHARDVILLE, WI 53516-9628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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