Individual
MS. DEBORAH MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Mailing address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2445
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354655
—
AZ
Enumeration date
05/24/2010
Last updated
12/29/2016
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