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Individual

SCOTT G MORELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
10400 W 103RD ST, SUITE 22, OVERLAND PARK, KS 66214-2640
(913) 322-4000
(913) 322-4000
Mailing address
1014 MT. CARMEL PLACE, PITTSBURG, KS 66762-6604
(620) 235-1500
(620) 235-1508

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1104431
KS
2251X0800X
Orthopedic Physical Therapist
23700
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12256594
CAQH
MD
Enumeration date
05/26/2011
Last updated
06/02/2014
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