Daren Moat PT

NPI 1043211352 - Physical Therapist - 225100000X

NPI Details
NPI 1043211352
Gender Male
Enumeration Date 08/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2280 OPITZ BLVD
SUITE 120
WOODBRIDGE VA, 22191-3362, US
Phone (703) 580-5160
Fax (703) 580-6880
Business Location
9900 MAIN ST
SUITE 200A
FAIRFAX VA, 22031-3907, US
Phone (703) 279-4394
Fax (703) 279-4214
Toxanomy
Taxonomy Code 225100000X
License State Virginia
License Number 2305005895
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According to our database, Daren Moat PT NPI is 1043211352, taxonomy code is 225100000X and license number is 2305005895, license state is located at Virginia. Daren Moat PT physically located at 2280 Opitz Blvd, Woodbridge VA, 22191-3362. NPI Number Daren Moat PT has the Individual type.

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1043211352 NPI number is provided on an as is basis without warranty of any kind. 1043211352 is maintained by the National Plan & Provider Enumeration System. The contents of Daren Moat PT are for informational purposes only.