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Theresa Moulton, LMT
NPI 1790199164 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1400 Sunset Ave
Suite 5
Waukegan, IL 60087 - Phone
- (224) 730-9331
- Organisation at this address
- Superior Medical Solutions Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois