Individual
AMANDA SUE MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 814-8030
Mailing address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60167580
WA
Other
Enumeration date
08/17/2010
Last updated
04/15/2025
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