Individual
HANNAH R MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-1340
Mailing address
762 WISCONSIN AVE N, GOLDEN VALLEY, MN 55427-4267
(612) 251-1742
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12407
MN
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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