MS. Teresa R Moore, PTA

NPI #1629117684 in Wildwood, Florida

Provider Information

NPI Number: 1629117684
Entity Type: Individual
Name: MS. Teresa R Moore, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 703 CRESTVIEW CIR W
City: Wildwood
State: Florida
ZIP Code: 34785-3536
Phone: (352) 748-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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