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Individual

LISHA K. MOFFAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2670 PACIFIC HEIGHTS RD, HONOLULU, HI 96813-1049
(808) 524-1955
(808) 537-5418
Mailing address
1952 E FORT UNION BLVD, SUITE 100, SALT LAKE CITY, UT 84121-6877
(801) 456-8409
(801) 456-8413

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2301
HI

Other

Enumeration date
05/13/2011
Last updated
03/17/2014
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