NPI 1437891942

Samantha Ann Moskoff

Practitioner Physical Therapy Assistant Carbondale, IL

Practice location

Address: 120 N Tower Rd, Carbondale, IL 62901-1929
Phone: (618) 549-3355
Mailing address: 1505 Jessica Ln, Herrin, IL 62948-4373

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160008075 (IL)

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Registry record

NPI: 1437891942
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2022
Record last updated: 13 Apr 2022

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.