Individual
AMY R MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
5271 GETWELL RD, SOUTHAVEN, MS 38672-9608
(662) 772-5924
(662) 772-5925
Mailing address
5271 GETWELL RD, SOUTHAVEN, MS 38672-9608
(662) 772-5924
(662) 772-5925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5675
MS
Other
Enumeration date
07/14/2009
Last updated
04/23/2015
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