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NPI Code Detail

MEDICARE: DANA MOYER PT, DPT

MEDICARE: DANA MOYER PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1780303495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MOYER PT, DPT
Provider Business Mailing Address
First Line : 2017 CENTRAL AVE APT 1102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-5390
Country : US
Telephone Number : 610-290-3009
Fax Number :
Provider Business Practice Location Address
First Line : 5113 PIPER STATION DR STE 103
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-6690
Country : US
Telephone Number : 704-752-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2022
Last Update Date : 08/25/2022

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