Mary Katherine Moreau, PT Valid NPI

Individual provider · Pediatric Physical Therapist · Fort Walton Beach, FL

NPI

1114937976

Type

Individual (Type 1)

Primary specialty

Pediatric Physical Therapist (Physical Therapist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2251P0200X

License number

PT20131 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-08

Last updated

2007-07-08