Angela Jean Moderson, PTA

NPI #1447407341 in Weyauwega, Wisconsin

Provider Information

NPI Number
1447407341
Entity Type
Individual
Name
Angela Jean Moderson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 21, 2008
Last Updated
Aug 21, 2008

Practice Location

Address
717 E ALFRED ST
ZIP Code
54983-9024
Phone
(920) 867-3121

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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