Individual
ELLA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3500 S BOULEVARD STE A1, EDMOND, OK 73013-5490
(405) 513-8118
Mailing address
3500 S BOULEVARD STE A1, EDMOND, OK 73013-5490
(405) 513-8118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5441
OK
Other
Enumeration date
06/18/2018
Last updated
03/21/2019
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