Erik Moen, PT

NPI #1356479620 in Kenmore, Washington

Provider Information

NPI Number: 1356479620
Entity Type: Individual
Name: Erik Moen, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Mar 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6161 NE 175TH ST
Address 2: STE 203
City: Kenmore
State: Washington
ZIP Code: 98028-4800
Phone: (425) 482-2453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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