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-- JOSHA MOSS -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1790976132
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
5601 SE 122ND AVE, PORTLAND, OR, 972364601
Phone
(503) 761-3181

Specialties & Taxonomies

Physical Therapy Assistant Primary License: OR #8455

All Addresses

MAILING

1167 NW WALLULA AVE APT 112

GRESHAM, OR, 970303667

(503) 761-3181

LOCATION

5601 SE 122ND AVE

PORTLAND, OR, 972364601

(503) 761-3181