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NPI Code Detail

MEDICARE: BARBARA L MOE MPT

MEDICARE: BARBARA L MOE MPT
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 TherapistPT00008140WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00410141OTHERWARR MEDICARE
2DB3601OTHERWARR MEDICARE GROUP
3G8800296OTHERWAMEDICARE GROUP NUMBER

General Provider Information

NPI Number : 1174681480
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA L MOE MPT
Provider Business Mailing Address
First Line : 203 E DALKE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99208-8112
Country : US
Telephone Number : 509-483-8228
Fax Number : 509-483-8338
Provider Business Practice Location Address
First Line : 203 E DALKE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99208-8112
Country : US
Telephone Number : 509-483-8228
Fax Number : 509-483-8338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 11/15/2013

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Directions to “ BARBARA L MOE MPT” Practice Location

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