Individual
TONYA KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
420 THOMSON CIR, ABBEVILLE, SC 29620-5656
(864) 366-3330
Mailing address
420 THOMSON CIR, ABBEVILLE, SC 29620-5656
(864) 366-3330
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
4897
SC
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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