Benjamin Thomas Moore, DPT, PT

NPI #1447009220 in Chubbuck, Idaho

Provider Information

NPI Number
1447009220
Entity Type
Individual
Name
Benjamin Thomas Moore, DPT, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT, PT
Enumeration Date
May 15, 2024
Last Updated
May 29, 2024

Practice Location

Address
445 E CHUBBUCK RD
State
Idaho
ZIP Code
83202-1815
Phone
(208) 244-7794

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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