Samuel Moran

NPI 1437360674 - Physical Therapist - 225100000X

NPI Details
NPI 1437360674
Gender Male
Enumeration Date 05/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
125 HOSPITAL DR
WATERTOWN WI, 53098-3303, US
Phone (800) 472-4210
Fax
Business Location
1285 GAS LIGHT DR
SUN PRAIRIE WI, 53590-3457, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 5834-024
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According to our database, Samuel Moran NPI is 1437360674, taxonomy code is 225100000X and license number is 5834-024, license state is located at Wisconsin. Samuel Moran physically located at 125 Hospital Dr, Watertown WI, 53098-3303. NPI Number Samuel Moran has the Individual type.

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1437360674 NPI number is provided on an as is basis without warranty of any kind. 1437360674 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Moran are for informational purposes only.