Jeremiah Zane Moore, DPT

NPI #1407184922 in White City, Oregon

Provider Information

NPI Number: 1407184922
Entity Type: Individual
Name: Jeremiah Zane Moore, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 20, 2009
Last Updated: Aug 6, 2014

Practice Location

Address: 8495 CRATER LAKE HWY
Address 2: U.S. DEPARTMENT OF VETERANS AFFAIRS - SORCC
City: White City
State: Oregon
ZIP Code: 97503
Phone: (541) 826-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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