Individual
MRS. JOANNA K. MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18930
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051773
OPTUM/UHC
MA
05
—
110089945A
—
MA
01
—
1227803
ASH/CIGNA
MA
01
—
9604746
AETNA
MA
Enumeration date
04/15/2011
Last updated
10/26/2018
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