Provider Demographics
NPI:1669922241
Name:MOYES, LAMONT (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:LAMONT
Middle Name:
Last Name:MOYES
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ARGONNE DR
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-5902
Mailing Address - Country:US
Mailing Address - Phone:724-713-1833
Mailing Address - Fax:
Practice Address - Street 1:2025 WIGHTMAN ST
Practice Address - Street 2:
Practice Address - City:SQUIRREL HILL
Practice Address - State:PA
Practice Address - Zip Code:15217
Practice Address - Country:US
Practice Address - Phone:412-421-8443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist