Individual
MS. CLAIRE LOUISE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CMT
Contact information
Practice address
9632 W APPLETON AVE, MILWAUKEE, WI 53225-3305
(414) 535-6704
(414) 535-6954
Mailing address
9632 W APPLETON AVE, MILWAUKEE, WI 53225-3305
(414) 535-6704
(414) 535-6954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
751019
WI
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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