GREG TIMOTHY MOON

WILMINGTON, NC
NPI1508600917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A8363)
Enumeration Date2024-06-20
Last Update Date2024-06-20
Business Address
GREG TIMOTHY MOON PTA
5725 CAROLINA BEACH RD
WILMINGTON, NC 28412-2611
Phone number: 910-792-1455
Mailing Address
GREG TIMOTHY MOON PTA
PO BOX 12883
WILMINGTON, NC 28405-0132
Phone number: 239-896-7323