Individual
MRS. DINNETT ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
116 BIRDSALL ST, NORWICH, NY 13815-2034
(607) 336-1116
Mailing address
116 BIRDSALL ST, NORWICH, NY 13815-2034
(607) 336-1116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024246-1
NY
Other
Enumeration date
01/26/2011
Last updated
09/24/2014
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