Ella Moore, PT, DPT

NPI #1043704653 in Edmond, Oklahoma

Provider Information

NPI Number: 1043704653
Entity Type: Individual
Name: Ella Moore, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jun 18, 2018
Last Updated: Mar 21, 2019

Practice Location

Address: 3500 S BOULEVARD STE A1
City: Edmond
State: Oklahoma
ZIP Code: 73013-5490
Phone: (405) 513-8118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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