Individual
MEGAN M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15259-24
WI
Other
Enumeration date
10/09/2020
Last updated
03/29/2024
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