Kirstin Dianne Moss
Physical Therapist in Rochester, NY. Individual provider (NPI-1).
NPI number1558137125
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1558137125
- Entity type
- Individual (NPI-1)
- Name
- Kirstin Dianne Moss
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2023
- Certification date
- Nov 26, 2023
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 051313 | NY | Yes |
Practice location
150 Highland AveRochester, NY 14620-3099
Phone 585-760-1300
Mailing address
7512 Victor Mendon Rd Apt 1Victor, NY 14564-9749
Phone 419-572-1890
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