Individual
MS. LEAH THALIA MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
187 ONVILLE RD # 216, STAFFORD, VA 22556-3887
(716) 398-2222
Mailing address
187 ONVILLE RD, STAFFORD, VA 22556-3887
(716) 398-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305212315
VA
225100000X
Physical Therapist
—
MD
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/20/2009
Last updated
11/07/2023
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