Individual
MS. BOBBI MOUSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4710 TROY PIKE, DAYTON, OH 45424-5740
(937) 233-1230
(937) 236-8930
Mailing address
4710 TROY PIKE, DAYTON, OH 45424-5740
(937) 233-1230
(937) 236-8930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 10492
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003352
ANTHEM GROUP #
OH
01
—
000000378664
ANTHEM INDIVIDUAL #
OH
05
—
0510772
—
OH
Enumeration date
04/12/2007
Last updated
06/27/2008
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