Individual
MARLA MOBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 GRANVILLE ST, GAHANNA, OH 43230-6505
(614) 470-6240
Mailing address
156 GRANVILLE ST, GAHANNA, OH 43230-6505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10077
OH
225200000X
Physical Therapy Assistant
2115045
TX
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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