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Individual
MCKINLEY MOORE
Active
Individual
MCKINLEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
048588-01
NY
225100000X
Physical Therapist
Primary
13155
MN
2251X0800X
Orthopedic Physical Therapist
PT297843
CA
Other
Enumeration date
01/30/2020
Last updated
10/02/2023
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