Individual
OBRIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
501 THOMAS JONES WAY, EXTON, PA 19341-2531
(484) 873-3700
Mailing address
101 WOODBINE RD, UNIT 2404, DOWNINGTOWN, PA 19335-2231
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012416
PA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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