Individual
RYAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 LLANFAIR AVE, CINCINNATI, OH 45224-2972
(513) 681-4230
Mailing address
410 ADAMS RD, LOVELAND, OH 45140-7225
(513) 264-2968
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007393
OH
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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