Individual
DENISE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23506
MD
225100000X
Physical Therapist
40QA01124500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23506
LICENSE
MD
01
—
40QA01124500
LICENSE #
NJ
Enumeration date
08/30/2006
Last updated
12/13/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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