Suzanne Moore

NPI #1396919502 in Grayson, Kentucky

Provider Information

NPI Number: 1396919502
Entity Type: Individual
Name: Suzanne Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 17, 2008
Last Updated: Apr 17, 2008

Practice Location

Address: 361 WINDBURN LN
City: Grayson
State: Kentucky
ZIP Code: 41143-8372
Phone: (606) 922-2572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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