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Jacob Moenning Valid NPI

Individual provider · Physical Therapy Assistant · Punta Gorda, FL

NPI
1740053461
Type
Individual (Type 1)
Primary specialty
Physical Therapy Assistant
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225200000X
License number
32363 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2023-11-03
Last updated
2023-11-03
Practice location
2905 Tamiami Trl
Punta Gorda, FL 33950-7272
(941) 258-5333

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