| NPI | 1295167898 |
|---|---|
| Former Name | VICTORIA N. MOFFETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-5948) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 5948) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2024-08-28 |