Jennifer Ann Moore, PTA

NPI #1285198465 in Azle, Texas

Provider Information

NPI Number
1285198465
Entity Type
Individual
Name
Jennifer Ann Moore, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jan 22, 2019
Last Updated
Jan 22, 2019

Practice Location

Address
721 DUNAWAY LN
City
Azle
State
Texas
ZIP Code
76020-2605
Phone
(817) 444-2536

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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