Individual
MR. MICHAEL BRANDON MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
8624 BRIARWOOD PL, BATON ROUGE, LA 70809-5409
(318) 680-0544
Mailing address
1007 N 5TH ST, MONROE, LA 71201-5530
(318) 680-0544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06695
LA
2251S0007X
Sports Physical Therapist
06695
LA
Other
Enumeration date
08/08/2006
Last updated
07/21/2022
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