Individual
MRS. DEANNE SUE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
85 GARRON RD, MIDDLETOWN SPRINGS, VT 05757
(802) 235-2810
Mailing address
85 GARRON RD, M SPRINGS, VT 05757
(802) 235-2810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0410000441
VT
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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