Individual
CARLA G MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3607 MANCHACA RD, AUSTIN, TX 78704-5947
(512) 444-7219
(512) 444-6005
Mailing address
3607 MANCHACA RD, AUSTIN, TX 78704-5947
(512) 444-7219
(512) 444-6005
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1059046
TX
Other
Enumeration date
05/22/2008
Last updated
05/08/2009
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