NPI 1366813057

Susan Julia Moreno, PTA

Practitioner Physical Therapy Assistant Bismarck, ND

Practice location

Address: 301 Lorrain Dr, Bismarck, ND 58503-0311
Phone: (701) 255-1084
Mailing address: 2235 44th St, Mandan, ND 58554-8502

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 0379 (ND)

Other Physical Therapy Assistant providers in North Dakota →

Registry record

NPI: 1366813057
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2015
Record last updated: 7 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.