Jacob A Moore, PT

NPI #1770469603 in Bernalillo, New Mexico

Provider Information

NPI Number
1770469603
Entity Type
Individual
Name
Jacob A Moore, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Aug 14, 2025
Last Updated
Aug 14, 2025

Practice Location

Address
240 S CAMINO DEL PUEBLO
ZIP Code
87004-6076
Phone
(505) 373-2836

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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