Individual
FLOYD ALEXANDER MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7833 ETCHING ST, NORTH CHESTERFIELD, VA 23237-1984
(434) 632-4419
Mailing address
7833 ETCHING ST, NORTH CHESTERFIELD, VA 23237-1984
(434) 632-4419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604873
VA
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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