Individual
RONNA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
331 HOSPITAL DR, SUITE D, LEBANON, MO 65536-9217
(417) 533-6315
(417) 533-6320
Mailing address
29025 HIGHWAY O, LEBANON, MO 65536-7718
(417) 462-3168
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001000666
MO
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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