Individual
JACOB THOMAS MOSKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 E COLLEGE ST, BRIDGEWATER, VA 22812-1511
(540) 661-2832
Mailing address
5823 CRESCENT POINT DR, ORANGE, VA 22960-4508
(540) 661-2832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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