Individual
JACOB MOENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2905 TAMIAMI TRL, PUNTA GORDA, FL 33950-7272
(941) 258-5333
Mailing address
2905 TAMIAMI TRL, PUNTA GORDA, FL 33950-7272
(941) 258-5333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32363
FL
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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