MRS. Blakelee Ann Moore

NPI #1215322946 in Lake Charles, Louisiana

Provider Information

NPI Number: 1215322946
Entity Type: Individual
Name: MRS. Blakelee Ann Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 31, 2015
Last Updated: Mar 31, 2015

Practice Location

Address: 4150 NELSON RD
Address 2: SUITE C12
City: Lake Charles
State: Louisiana
ZIP Code: 70605-4148
Phone: (337) 990-5621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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