Individual
ANN G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2209 GENESEE STREET, UTICA, NY 13501
(315) 798-8160
(315) 798-8397
Mailing address
2209 GENESEE STREET, UTICA, NY 13501
(315) 798-8160
(315) 798-8397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019881-1
NY
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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