Organization
MOSHER PHYSICAL THERAPY AND SPORTSMEDICINE INC
Active
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
Update your record
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