Individual
DR. SELEGNE ALTAGRACIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10250 NW 53RD ST, SUNRISE, FL 33351-8023
(954) 746-9400
Mailing address
16440 S POST RD APT 301, WESTON, FL 33331-3560
(917) 921-5425
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
027917-1
NY
2251P0200X
Pediatric Physical Therapist
Primary
PT24176
FL
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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