Individual
KITARA MCMOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5345 MARIAN LN, VIRGINIA BEACH, VA 23462-1841
(757) 456-4518
Mailing address
5345 MARIAN LN, VIRGINIA BEACH, VA 23462-1841
(757) 456-5081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604540
VA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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