Individual
ANDREA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
31555 SOUTHFIELD RD, BEVERLY HILLS, MI 48025-5461
(248) 594-5963
(248) 594-6115
Mailing address
30600 WOODGATE DR, SOUTHFIELD, MI 48076-5385
(313) 300-5170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011665
MI
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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