Individual
PHILLIP J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3125 INDEPENDENCE DR, STE 300B, BIRMINGHAM, AL 35209
(205) 879-7501
(205) 879-0675
Mailing address
3125 INDEPENDENCE DR, STE 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6621
AL
Other
Enumeration date
11/05/2012
Last updated
05/14/2018
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