Terence Moore

NPI #1306688528 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1306688528
Entity Type: Individual
Name: Terence Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jun 10, 2024
Last Updated: Jun 10, 2024

Practice Location

Address: 92 TANGLEWOOD DR
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-7831
Phone: (336) 898-4786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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