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Individual

EMILY MOORE

Active
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Individual

EMILY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31334
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
090925
AZ
01
HKW810874267
CARE FIRST BLUE CHOICE
MD
Enumeration date
12/08/2017
Last updated
08/08/2025
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