Individual
COLLEEN MOOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2432 ALBANY AVE, WEST HARTFORD, CT 06117-2503
(860) 236-3557
Mailing address
6920 OAKHURST ST, CENTRAL POINT, OR 97502-3428
(541) 941-2995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1023
CT
225200000X
Physical Therapy Assistant
8309
OR
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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