Individual
KAREN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 INTERNATIONAL PKWY, 2051, HEATHROW, FL 32746-5303
(800) 798-6035
Mailing address
1485 INTERNATIONAL PKWY, 2051, HEATHROW, FL 32746-5303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1285
NC
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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