Mary Viriginia Moore
NPI #1023839628 in Wake Village, Texas
Provider Information
- NPI Number
- 1023839628
- Entity Type
- Individual
- Name
- Mary Viriginia Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Oct 17, 2024
- Last Updated
- Oct 17, 2024
Practice Location
- Address
- 600 N KINGS HWY STE 3
- City
- Wake Village
- State
- Texas
- ZIP Code
- 75501-5787
- Phone
- (903) 794-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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