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Individual
JANELLE MOORE
Active
Individual
JANELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2000146676
MO
225100000X
Physical Therapist
Primary
70011977
IL
Other
Enumeration date
05/25/2006
Last updated
10/22/2019
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