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Individual
WILLIAM JR MOORE
Active
Individual
WILLIAM JR MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT4009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4009
PHYSICIAL THERAPIST LICEN
FL
Enumeration date
08/05/2006
Last updated
09/08/2008
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