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1003974841
TRICIA L MOOSE
WEBSTER, NY
NPI
1003974841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 017186)
Enumeration Date
2006-12-05
Last Update Date
2022-09-26
Business Address
TRICIA L MOOSE PT
2000 EMPIRE BLVD BLDG 2
WEBSTER, NY 14580-1957
Phone number: 585-671-1030
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Mailing Address
TRICIA L MOOSE PT
PO BOX 725
MENDON, NY 14506-0725
Phone number: 585-582-6075
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