Doctor Name: | MRS. DEBRA LYNN MOYER |
NPI Number: | 1043589476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 4291-24 |
Business Practice Address: | 5605 Red Oak Trl Mc Farland, WI - 535588412 |
Business Phone Number: | 6088384500 |
Business Fax Number: | |
Mailing Address: | 918 Autumn Woods Ln, OREGON |
State: | WI |
Postal Code: | 535753226 |
Phone Number: | 6084441218 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 4291-24 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |