Individual
MRS. CAROL PATZWAHL MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
906 OKEEFE RD, MARSHALL, MI 49068-1354
(269) 274-3960
(517) 629-0938
Mailing address
906 OKEEFE RD, MARSHALL, MI 49068-1354
(269) 274-3960
(517) 629-0938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3652945
MI
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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