MRS. Nicole Ann Moore, PTA

NPI #1285952911 in Jasper, Indiana

Provider Information

NPI Number: 1285952911
Entity Type: Individual
Name: MRS. Nicole Ann Moore, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 5, 2010
Last Updated: May 5, 2010

Practice Location

Address: 2909 HOWARD DR
City: Jasper
State: Indiana
ZIP Code: 47546-1113
Phone: (812) 482-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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