Individual
STEVEN PATRICK MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
13 NORTHTOWN DR, SUITE 110, JACKSON, MS 39211-3047
(601) 206-9195
(601) 957-8391
Mailing address
13 NORTHTOWN DR, SUITE 110, JACKSON, MS 39211-3047
(601) 206-9195
(601) 957-8391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3269
MS
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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