Individual
REGAN MOOMAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2611 S BANKER ST, EFFINGHAM, IL 62401-2980
(217) 358-1456
Mailing address
511 S HAMILTON ST, SULLIVAN, IL 61951-2103
(217) 358-1456
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
08/24/2021
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