Individual
CONNIE W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
533B KEYWAY DR, FLOWOOD, MS 39232-8809
(601) 420-0717
Mailing address
533B KEYWAY DR, FLOWOOD, MS 39232-8809
(601) 420-0717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1290
MS
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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