Organization
MOORE THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN MICHAEL MOORE P.T. (PRESIDENT/OWNER)
(484) 459-1851
Entity
Organization
Contact information
Practice address
1806 N VAN BUREN ST, SUITE 110, WILMINGTON, DE 19802-3851
(484) 459-1851
Mailing address
3317 TUNISON DR, WILMINGTON, DE 19810-3225
(484) 459-1851
(302) 478-7544
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2003104444
DE
Other
Enumeration date
11/17/2008
Last updated
02/02/2009
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