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NPI Code Detail

MEDICARE: DR. MEGHAN MARIE MOYER DPT

MEDICARE: DR. MEGHAN MARIE MOYER 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
12251P0200XPediatric Physical TherapistP92966NY
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518371913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGHAN MARIE MOYER DPT
Provider Business Mailing Address
First Line : 265 TOWNSHIP LINE RD
Second Line :
City : ELKINS PARK
State : PA
Zip : 19027-2221
Country : US
Telephone Number : 215-379-2700
Fax Number :
Provider Business Practice Location Address
First Line : 600 W CHELTENHAM AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-3045
Country : US
Telephone Number : 215-927-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2014
Last Update Date : 04/02/2021

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