Souriya Moua

NPI #1710754049 in Anoka, Minnesota

Provider Information

NPI Number
1710754049
Entity Type
Individual
Name
Souriya Moua
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Dec 6, 2023
Last Updated
Dec 22, 2023

Practice Location

Address
7637 OLD VIKING BLVD NW
City
Anoka
ZIP Code
55303-9714
Phone
(507) 530-4501

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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