Individual
MS. MARCIE MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13575 W INDIAN SCHOOL RD, STE 700, LITCHFIELD PARK, AZ 85340-4905
(623) 935-5505
(623) 935-5551
Mailing address
13575 W INDIAN SCHOOL RD, STE 700, LITCHFIELD PARK, AZ 85340-4905
(623) 935-5505
(623) 935-5551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6403
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864282
—
AZ
Enumeration date
05/24/2005
Last updated
07/08/2007
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