Individual
RACHAEL LAUREN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
(479) 246-1040
Mailing address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4389
AR
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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