MR. Mark William Moore, PTA
NPI #1619204294 in Saxonburg, Pennsylvania
Provider Information
- NPI Number
- 1619204294
- Entity Type
- Individual
- Name
- MR. Mark William Moore, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 3, 2009
- Last Updated
- Nov 3, 2009
Practice Location
- Address
- 223 PITTSBURGH ST
- City
- Saxonburg
- State
- Pennsylvania
- ZIP Code
- 16056-2217
- Phone
- (724) 352-9445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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