Individual
LOREN MOORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2976 CHAPEL HILL RD STE 200, DOUGLASVILLE, GA 30135-1849
(770) 949-8558
(770) 949-6966
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(678) 996-7230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016254
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT016254
LICENSE
GA
Enumeration date
09/13/2022
Last updated
09/15/2022
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