Connie W Moore, PT

NPI #1063840163 in Flowood, Mississippi

Provider Information

NPI Number: 1063840163
Entity Type: Individual
Name: Connie W Moore, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 29, 2013
Last Updated: Oct 29, 2013

Practice Location

Address: 533B KEYWAY DR
City: Flowood
State: Mississippi
ZIP Code: 39232-8809
Phone: (601) 420-0717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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