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1508600917
GREG TIMOTHY MOON
WILMINGTON, NC
NPI
1508600917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A8363)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
GREG TIMOTHY MOON PTA
5725 CAROLINA BEACH RD
WILMINGTON, NC 28412-2611
Phone number: 910-792-1455
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Mailing Address
GREG TIMOTHY MOON PTA
PO BOX 12883
WILMINGTON, NC 28405-0132
Phone number: 239-896-7323
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