Michael Shane Moore, LPTA
NPI #1972115582 in Montgomery, Alabama
Provider Information
- NPI Number
- 1972115582
- Entity Type
- Individual
- Name
- Michael Shane Moore, LPTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- LPTA
- Enumeration Date
- Aug 17, 2020
- Last Updated
- Aug 17, 2020
Practice Location
- Address
- 2757 VANDY CT
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36110-1339
- Phone
- (334) 669-1430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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