Individual
MISTY MOORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
250 LOVERS LN, WASHINGTON, NC 27889-3436
(252) 975-1636
Mailing address
250 LOVERS LN, WASHINGTON, NC 27889-3436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A3239
—
NC
Enumeration date
08/04/2021
Last updated
08/04/2021
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