Joshua Moore, PT,DPT

NPI #1467893297 in Third Lake, Illinois

Provider Information

NPI Number: 1467893297
Entity Type: Individual
Name: Joshua Moore, PT,DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT,DPT
Enumeration Date: Jul 9, 2013
Last Updated: Aug 20, 2013

Practice Location

Address: 34572 N US HIGHWAY 45
Address 2: SPACE A
City: Third Lake
State: Illinois
ZIP Code: 60030-4037
Phone: (847) 548-3695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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