Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3591 S MERCY RD STE 204, GILBERT, AZ 85297-2240
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
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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