Individual
MS. MARLESA K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1519 S RESERVE ST, MISSOULA, MT 59801-4755
(406) 549-2006
(406) 549-6574
Mailing address
1519 S RESERVE ST, MISSOULA, MT 59801-4755
(406) 549-2006
(406) 549-6574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-5949
MT
Other
Enumeration date
09/06/2013
Last updated
09/09/2024
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