MRS. Jamie Moore, PTA
NPI #1992161871 in Fleming Island, Florida
Provider Information
- NPI Number
- 1992161871
- Entity Type
- Individual
- Name
- MRS. Jamie Moore, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 8, 2016
- Last Updated
- Oct 10, 2019
Practice Location
- Address
- 4565 US HIGHWAY 17 STE 200
- City
- Fleming Island
- State
- Florida
- ZIP Code
- 32003-4823
- Phone
- (904) 634-0640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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