STEPHEN MARK MOAD

GLASGOW, KY
NPI1245681360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  PTA-A00485)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
-- STEPHEN MARK MOAD PTA
850 DANA CT
GLASGOW, KY 42141-8753
Phone number: 270-646-7777
Mailing Address
-- STEPHEN MARK MOAD PTA
850 DANA CT
GLASGOW, KY 42141-8753
Phone number: 270-646-7777
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