Individual
DAVID CHARLES MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
702 E SOUTH TEMPLE, SUITE 102, SALT LAKE CITY, UT 84102-1204
(801) 328-8535
(801) 364-1242
Mailing address
5151 S 900 E, SUITE 100, SALT LAKE CITY, UT 84117-6657
(801) 261-3321
(801) 261-5942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
380
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416429
—
NV
Enumeration date
10/31/2006
Last updated
10/17/2012
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