Individual
DR. SARA ROMANSKY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
104 MAXWELL AVE, GREENWOOD, SC 29646-2641
(864) 229-7529
(864) 229-7530
Mailing address
PO BOX 1115, GREENWOOD, SC 29648-1115
(864) 229-7529
(864) 229-7530
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5088
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH 1754
—
SC
Enumeration date
11/30/2006
Last updated
08/16/2011
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