Individual
DANETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
114 MONROE ST, MIDDLETOWN, OH 45042-3213
(513) 649-1918
Mailing address
114 MONROE ST, MIDDLETOWN, OH 45042-3213
(513) 649-1018
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2880
OH
Other
Enumeration date
02/14/2013
Last updated
02/02/2014
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