MRS. MARY KATHERINE MOREAU PT - NPI 1114937976 - Physical Therapist in Fort Walton Beach, FL

Q: What is Mary Moreau's NPI number?

The NPI number for Mary Moreau is 1114937976. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Mary Moreau's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Moreau was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Mary Katherine Moreau Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY KATHERINE MOREAU PT (NPI 1114937976) is an individual pediatrics provider in Fort Walton Beach, Florida, licensed in Florida (PT20131) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114937976

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMRS. MARY KATHERINE MOREAUCredential: PT

Location Address4 JACKSON ST NEFort Walton Beach, FL 32548-4925

Mailing Address4 Jackson St NeFort Walton Beach, FL 32548-4925 · (850) 862-7227 · Fax (850) 862-2421

Phone(850) 862-7227

Fax(850) 862-2421

Sole ProprietorYes

Enumeration DateAugust 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114937976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in FL · PT20131

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

4 JACKSON ST NE, Fort Walton Beach, FL 32548

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