Moxie Body P C in Portland - Physical Therapy
Moxie Body P C - NPI 1578662979
Moxie Body P C is a Physical Therapy in Portland, Oregon. Moxie Body P C practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Moxie Body P C is 1578662979. The last update date is 2020-08-22.
Moxie Body P C's current location address is 407 Ne 12th Ave, Portland, Oregon. You can contact this provider via phone number 5035224132 and fax number 5032396125. The mailing address for Moxie Body P C is 407 Ne 12th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moxie Body P C |
|---|---|
| Address | 407 Ne 12th Ave, Portland, Oregon |
| Phone Number | 5035224132 |
| Fax Number | 5032396125 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Friedman Andrea Lisa |
| Credentials | P.T. |
| Telephone Number | 5035224132 |
NPI Number Detail
| NPI Number | 1578662979 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 407 Ne 12th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322752 |
| Phone Number | 5035224132 |
| Fax Number | 5032396125 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | 3045 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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What is the unique identification code assigned to Moxie Body P C by the Centers for Medicare & Medicaid Services?
The Moxie Body P C has been issued the NPI (National Provider Identifier) 1578662979. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Moxie Body P C located?
The Moxie Body P C is located at 407 Ne 12Th Ave, Portland, OR 972322752.
What is the area of specialization for Moxie Body P C, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Moxie Body P C is Physical Therapy, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2000X.
When was the Moxie Body P C's 1578662979 issued?
The Moxie Body P C's 1578662979 was issued on 2006-09-22.
As of what date were the details related to Moxie Body P C most recently updated or revised?
The information pertaining to Moxie Body P C, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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