Heath C.r. Moore, PTA

NPI #1184050189 in Fremont, Michigan

Provider Information

NPI Number: 1184050189
Entity Type: Individual
Name: Heath C.r. Moore, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 23, 2013
Last Updated: Sep 23, 2013

Practice Location

Address: 4554 W 48TH ST
City: Fremont
State: Michigan
ZIP Code: 49412-8721
Phone: (231) 924-1013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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