Samuel Mbaki Moke

NPI #1629841721 in De Pere, Wisconsin

Provider Information

NPI Number: 1629841721
Entity Type: Individual
Name: Samuel Mbaki Moke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 1, 2023
Last Updated: Nov 1, 2023

Practice Location

Address: 250 S 9TH ST
City: De Pere
State: Wisconsin
ZIP Code: 54115-3919
Phone: (715) 582-2247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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