MR. Andrew L. Moore, P.T.A.
NPI #1003612003 in Blythewood, South Carolina
Provider Information
- NPI Number
- 1003612003
- Entity Type
- Individual
- Name
- MR. Andrew L. Moore, P.T.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- P.T.A.
- Enumeration Date
- Feb 20, 2025
- Last Updated
- Feb 20, 2025
Practice Location
- Address
- 420-B MCNULTY ROAD P.O. BOX 219
- City
- Blythewood
- State
- South Carolina
- ZIP Code
- 29016-8926
- Phone
- (803) 728-0421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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