Individual
MRS. AMY BOOZER MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4405 EVANS TO LOCKS RD, SUITE C, EVANS, GA 30809-3603
(706) 854-1598
Mailing address
202 FOLKSTONE CIR, AUGUSTA, GA 30907-3773
(706) 860-8731
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
002820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00650075D
—
GA
Enumeration date
12/13/2006
Last updated
07/08/2007
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