Individual
KHIDA L. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, DPT
Contact information
Practice address
1046 S NORTH POINT RD, BALTIMORE, MD 21224-3307
(410) 282-0100
(410) 505-1786
Mailing address
1046 S NORTH POINT RD, BALTIMORE, MD 21224-3307
(410) 282-0100
(410) 505-1786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21265
MD
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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