MR. Richard Lee Moore JR., PTA

NPI #1508339813 in Sevierville, Tennessee

Provider Information

NPI Number
1508339813
Entity Type
Individual
Name
MR. Richard Lee Moore JR., PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jan 9, 2019
Last Updated
Jan 9, 2019

Practice Location

Address
415 CATLETT RD
ZIP Code
37862-5901
Phone
(865) 453-4747

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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