Individual
MICHAEL MOSCHELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
6 SHAWS CV, SUITE 101, NEW LONDON, CT 06320-4969
(860) 447-3009
(860) 447-1320
Mailing address
6 SHAWS CV, SUITE 101, NEW LONDON, CT 06320-4969
(860) 447-3009
(860) 447-1320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8605
CT
Other
Enumeration date
08/27/2009
Last updated
12/06/2012
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