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Individual

MRS. AMY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
7301 HENNESSY BLVD STE 101, BATON ROUGE, LA 70808-4384
(225) 767-5004
Mailing address
9054 PECAN TREE DR, BATON ROUGE, LA 70810-7002
(225) 933-1220

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08800
LA

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
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