Individual
MR. KEVIN MICHAEL MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11 BERKSHIRE ST, NORFOLK, MA 02056-1942
(646) 281-3872
Mailing address
11 BERKSHIRE ST, NORFOLK, MA 02056-1942
(646) 281-3872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023253
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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