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Individual

MRS. LYNN LIBERTE MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2980 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 384-1941
(205) 384-6362
Mailing address
2980 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 384-1941

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5465
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000094084
AL
01
051094084
BCBS OF ALABAMA
AL
01
P00101318
RAILROAD MEDICARE
AL
Enumeration date
12/30/2005
Last updated
10/18/2010
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