SUSAN MARIE MOEN

SALEM, SD
NPI1598242240
Former NameSUSAN FANGMEIER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SD  0428)
Enumeration Date2018-07-25
Last Update Date2018-10-04
Business Address
SUSAN MARIE MOEN PT
511 S NEBRASKA ST
SALEM, SD 57058-8917
Phone number: 605-425-3303
Mailing Address
SUSAN MARIE MOEN PT
411 SE 10TH ST STE 103
MADISON, SD 57042-3571
Phone number: 605-556-0175