Whitney Rene Moulton, DPT

NPI #1740671874 in Pine City, Minnesota

Provider Information

NPI Number: 1740671874
Entity Type: Individual
Name: Whitney Rene Moulton, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Feb 11, 2015
Last Updated: Mar 17, 2018

Practice Location

Address: 100 EVERGREEN SQ SW
City: Pine City
State: Minnesota
ZIP Code: 55063-2000
Phone: (320) 629-8575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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