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Sylvia Moran

Physical Therapist in Poplar Bluff, MO. Individual provider (NPI-1).

NPI number1245649755
StatusActive
Last updated in NPPESAug 8, 2014

Details

NPI
1245649755
Entity type
Individual (NPI-1)
Name
Sylvia Moran
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 8, 2014
Last updated
Aug 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist03407LAYes

Practice location

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318

Phone 573-778-2275

Mailing address

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318

Phone 573-778-2275

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