Individual
JANE M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
106 E VICTORIA CT STE D, GREENVILLE, NC 27858-5708
(252) 321-6001
Mailing address
1501 HOLLYBRIAR LN, GREENVILLE, NC 27858-6116
(252) 717-1526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10774
NC
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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