Moss, Emilie Dianne

Moss, Emilie Dianne is an individual health care provider with primary practice located at 101 Fairview Park Dr , Dublin GA 31021-2501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Moss, Emilie Dianne can be contacted via phone (478) 272-7494.

Contact Information

Primary practice address
101 Fairview Park Dr Dublin GA 31021-2501
Phone: (478) 272-7494
Fax: (478) 272-2616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA003273 Georgia

Profile Details

NPI number 1659791127
LBN Legal business name Moss, Emilie Dianne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2014
Last updated Apr 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659791127 NPPES
Georgia Other PTA003273 PTA#

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