Individual
REECE MOODISPAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 JAMES WAY, MARION, OH 43302
(740) 389-6306
Mailing address
524 JAMES WAY, MARION, OH 43302-7801
(740) 389-6306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA06990
OH
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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