Susan Moore

NPI #1225298169 in Caldwell, Idaho

Provider Information

NPI Number
1225298169
Entity Type
Individual
Name
Susan Moore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Jun 13, 2008
Last Updated
Aug 30, 2018

Practice Location

Address
2814 S INDIANA AVE
State
Idaho
ZIP Code
83605
Phone
(208) 459-0808

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant
Physical Therapist

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