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Individual
SALLY A MOORES
Active
Individual
SALLY A MOORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16361
MA
Other
Enumeration date
01/12/2007
Last updated
09/13/2016
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