Organization
MOSHER PHYSICAL THERAPY AND SPORTSMEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE MOSHER MSPT (OWNER)
(757) 789-3075
Entity
Organization
Contact information
Practice address
20435 WASHINGTON ST, ONLEY, VA 23418
(757) 789-3075
(757) 789-3306
Mailing address
PO BOX 1059, ONLEY, VA 23418
(757) 789-3075
(757) 789-3306
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0380
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278177
ANTHEM BCBS
VA
Enumeration date
12/22/2005
Last updated
08/27/2010
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