Lens Moise
Physical Therapist in Mableton, GA. Individual provider (NPI-1).
NPI number1356025076
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1356025076
- Entity type
- Individual (NPI-1)
- Name
- Lens Moise
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2023
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT016914 | GA | Yes |
| 225100000X | Physical Therapist | PTT40316 | FL |
Practice location
1025 Veterans Memorial Hwy Se Ste 640Mableton, GA 30126-7711
Phone 770-999-1961
Mailing address
1200 Corporate Dr Ste 400Hoover, AL 35242-5424
Phone 423-238-7217
Other practice locations
554 Twin Cities Blvd Ste A
Niceville, FL 32578-1058
Niceville, FL 32578-1058
Phone 850-424-7072
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