Individual
AMANDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
650 EDISON AVE, PHILADELPHIA, PA 19116-1237
(215) 856-5734
Mailing address
2502 WATERFORD RD, YARDLEY, PA 19067-5435
(215) 595-8081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017426
PA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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