Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Moreau

Individual provider Physical Therapy Assistant · NPI 1114220993

Carly Moreau is a Physical Therapy Assistant in Summit, Mississippi. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
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Practice location Address checks out

4109 Highway 98 W
Summit, MS 39666-9132
Phone: (601) 276-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2075580 (TX)

Record details

NPI number1114220993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2010
Last updated in NPPESDecember 16, 2010

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