MR. Thaddeus L Moore JR.
NPI #1265425839 in Chestertown, Maryland
Provider Information
- NPI Number
- 1265425839
- Entity Type
- Individual
- Name
- MR. Thaddeus L Moore JR.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Aug 29, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 300 WASHINGTON AVE
- City
- Chestertown
- State
- Maryland
- ZIP Code
- 21620-1438
- Phone
- (410) 778-7243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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