Michael C Moore, PTA

NPI #1366005282 in Oakdale, New York

Provider Information

NPI Number
1366005282
Entity Type
Individual
Name
Michael C Moore, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 16, 2019
Last Updated
Apr 16, 2019

Practice Location

Address
305 LOCUST AVE
ZIP Code
11769-1652
Phone
(631) 218-5900

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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