Individual
JENNIFER SLOOP MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
610 SUNSET DR, LA GRANDE, OR 97850-1269
(541) 963-1437
Mailing address
610 SUNSET DR, LA GRANDE, OR 97850-1269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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