Individual
MATTHEW D MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2401 PLOVER RD, PLOVER, WI 54467-3916
(715) 295-3800
Mailing address
2401 PLOVER RD, PLOVER, WI 54467-3916
(715) 295-3800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-022045
IL
225100000X
Physical Therapist
13530-24
WI
Other
Enumeration date
06/29/2016
Last updated
09/23/2021
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