Individual provider · Type 1 NPI
Tera Conerly Moreno, P.T.
Specialist · Ponchatoula, LA
NPI number
1366735938
Active
Practice location
39336 Oaklyn Dr
Ponchatoula, LA 70454-7094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 02657 (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Ponchatoula
About NPI 1366735938
Tera Conerly Moreno, P.T.'s National Provider Identifier is 1366735938, issued on May 16, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ponchatoula, LA. The record was last updated on May 16, 2011.