Individual
MRS. ANGELA M. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
33 ROGER ST, GENESIS REHAB AT MARSHWOOD HEALTHCARE, LEWISTON, ME 04240-3328
(207) 784-0108
Mailing address
23 EARLE ST, LISBON FALLS, ME 04252-1923
(207) 514-7510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PA2550
ME
225700000X
Massage Therapist
Primary
MT1170
ME
Other
Enumeration date
03/13/2007
Last updated
09/11/2025
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