Individual
HADJIRA MOUDJED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
155 HOLLYTREE DR, MONROE, OH 45044-3362
(937) 524-6841
Mailing address
155 HOLLYTREE DR, MONROE, OH 45044-3362
(937) 524-6841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA09861
OH
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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