Lisa Moore, Pt, Dpt Corporation

NPI #1659692259 in Cornelius, North Carolina

Provider Information

NPI Number
1659692259
Entity Type
Organization
Organization Name
Lisa Moore, Pt, Dpt Corporation
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jun 17, 2010
Last Updated
Jun 17, 2010

Practice Location

Address
19511 S MAIN ST
ZIP Code
28031-8439
Phone
(704) 975-0646

Authorized Official

Name
LISA MOORE, PT, DPT
Title
PRESIDENT
Phone
(704) 975-0646

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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