Individual
LYDIA TAYLOR MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2600 MIDDLETOWN CMNS STE 260, FAIRMONT, WV 26554-8949
(304) 816-3169
Mailing address
2600 MIDDLETOWN CMNS STE 260, FAIRMONT, WV 26554-8949
(304) 816-3169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004782
WV
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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