Individual
DR. DANIELLE SUE MOFFATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
812 SAINT MARYS BLVD, JEFFERSON CITY, MO 65109-1451
(573) 690-5605
Mailing address
6123 HENWICK LN, JEFFERSON CITY, MO 65109-3373
(573) 690-5605
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2012023502
MO
Other
Enumeration date
05/21/2013
Last updated
08/03/2022
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