Angelica Moreno

NPI #1124653019 in Streator, Illinois

Provider Information

NPI Number: 1124653019
Entity Type: Individual
Name: Angelica Moreno
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 11, 2020
Last Updated: Mar 11, 2020

Practice Location

Address: 508 W FRECH ST
City: Streator
State: Illinois
ZIP Code: 61364-1216
Phone: (815) 672-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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