| Moten Therapeutic Services | |
|
4117 Fitzpatrick Blvd Montgomery AL 36116-4844 | |
| (773) 354-3103 | |
| Not Available |
| Full Name | Moten Therapeutic Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4117 Fitzpatrick Blvd, Montgomery, Alabama |
| Authorized Official Name and Position | Brandon Moten (MANAGING PARTNER) |
| Authorized Official Contact | 7733543103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moten Therapeutic Services 4117 Fitzpatrick Blvd Montgomery AL 36116-4844 Ph: (773) 354-3103 | Moten Therapeutic Services 4117 Fitzpatrick Blvd Montgomery AL 36116-4844 Ph: (773) 354-3103 |
| NPI Number | 1902481906 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902481906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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