Individual
STEPHEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1809 E PARKER RD STE D, JONESBORO, AR 72404-7854
(870) 243-5479
Mailing address
813 COUNTY ROAD 428, JONESBORO, AR 72404-8217
(870) 243-5479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4174
AR
Other
Enumeration date
01/27/2025
Last updated
02/08/2025
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