Individual provider · Type 1 NPI

Sally Marie Moeggenberg, MPT

Pediatric Physical Therapist · Portland, OR

NPI number 1689982126 Active

Practice location

3101 SW Sam Jackson Park Rd
Portland, OR 97239-3009

Call (503) 221-3429 Map

Mailing address

4063 SE Ash St
Portland, OR 97214-2017

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X2422 (OR)

Pediatric Physical Therapist: 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 th…

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About NPI 1689982126

Sally Marie Moeggenberg, MPT's National Provider Identifier is 1689982126, issued on Sep 17, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Portland, OR. The record was last updated on Sep 17, 2010.