| Doctor Name: | MICHAEL MOSCHELLA |
| NPI Number: | 1942433776 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, ATC |
| License Number: | 8605 |
| Business Practice Address: | 6 Shaws Cv Suite 101 New London, CT - 063204969 |
| Business Phone Number: | 8604473009 |
| Business Fax Number: | 8604471320 |
| Mailing Address: | 6 Shaws Cv, Suite 101 NEW LONDON |
| State: | CT |
| Postal Code: | 063204969 |
| Phone Number: | 8604473009 |
| Fax Number: | 8604471320 |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |