Individual
DEANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 W 5TH ST, LAKE VIEW, IA 51450-7312
(712) 657-8527
Mailing address
73 W 5TH ST, LAKE VIEW, IA 51450-7312
(712) 657-8527
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00881
IA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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