Individual
BRIAN KEITH MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
924 BELL RD, GREENWOOD, AR 72936-3316
(479) 629-5843
Mailing address
924 BELL RD, GREENWOOD, AR 72936-3316
(479) 629-5843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1192
AR
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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