David Moga

NPI #1427606896 in Blaine, Minnesota

Provider Information

NPI Number: 1427606896
Entity Type: Individual
Name: David Moga
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 29, 2019
Last Updated: Oct 19, 2020

Practice Location

Address: 11855 ULYSSES ST NE
City: Blaine
State: Minnesota
ZIP Code: 55434-3947
Phone: (763) 634-7601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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