Victoria Moulder
Physical Therapist in Wantagh, NY. Individual provider (NPI-1).
NPI number1003699786
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1003699786
- Entity type
- Individual (NPI-1)
- Name
- Victoria Moulder
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 050788 | NY | Yes |
Practice location
3556 Island RdWantagh, NY 11793-3337
Phone 516-428-5121
Mailing address
3556 Island RdWantagh, NY 11793-3337
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All 55 Physical Therapist providers in Wantagh · All 879 providers in Wantagh
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