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Organization

BOBBY MOORE DPT, PLLC

Active
Other names
Sideout Sports Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BOBBY LEE MOORE JR. PT (PHYSICAL THERAPIST)
(580) 364-3312
Entity
Organization

Contact information

Practice address
249 NW 71ST STREET, OKLAHOMA CITY, OK 73116
(580) 364-3312
(405) 592-5297
Mailing address
18221 CAMBORNE AVE, EDMOND, OK 73012-3221
(580) 364-3312
(405) 592-5297

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
04/25/2023
Last updated
10/09/2025
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