| Doctor Name: | MR. JUSTIN MOYER |
| NPI Number: | 1093910523 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 028602-1 |
| Business Practice Address: | 191 N Main St Wellsville, NY - 148951150 |
| Business Phone Number: | 5855964011 |
| Business Fax Number: | 5855964012 |
| Mailing Address: | 8411 Route 305, BELFAST |
| State: | NY |
| Postal Code: | 147118639 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 028602-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |