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Individual

MRS. CHRISTINE LARA MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2807 GREYSTONE COMMERCIAL BLVD, SUITE 34, BIRMINGHAM, AL 35242-9600
(205) 745-3653
(205) 745-3649
Mailing address
6236 DORSETT WOODS DR, MOUNT OLIVE, AL 35117-3644
(205) 608-0016
(205) 608-0916

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2801
AL

Other

Enumeration date
07/11/2012
Last updated
07/11/2012
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