Individual
MS. DENISE E. MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 DOCTORS DR, SUITE 105, DOUGLAS, GA 31533-2210
(912) 383-5645
(912) 383-5677
Mailing address
169 MEADOWLARK LN, FITZGERALD, GA 31750-8644
(912) 383-5645
(912) 383-5677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
755
GA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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