Whitney Moore

NPI #1679833438 in South Bend, Indiana

Provider Information

NPI Number: 1679833438
Entity Type: Individual
Name: Whitney Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 25, 2012
Last Updated: May 25, 2012

Practice Location

Address: 2012 IRONWOOD CIRCLE, SUITE 230
Address 2: CIRCLE CENTRE BUILDING,
City: South Bend
State: Indiana
ZIP Code: 46635
Phone: (574) 387-4049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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