Individual
TAYLOR D MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
745 SCHNIER ST, COLUMBUS, IN 47201-6657
(812) 376-9353
Mailing address
940 N MARR RD STE C, COLUMBUS, IN 47201-2610
(812) 376-9353
(812) 376-3757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013412A
IN
Other
Enumeration date
10/10/2019
Last updated
10/30/2019
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