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Individual

CHRISTINA LYNN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2970 UNIVERSITY PKWY STE 105, SARASOTA, FL 34243-2401
(941) 360-1988
Mailing address
293 ADAMO WAY, WEST MELBOURNE, FL 32904-5114
(770) 365-7756
(941) 360-1998

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-27154
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT-27154
PT LICENSE
FL
Enumeration date
02/21/2012
Last updated
09/10/2020
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