Individual
JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
825 S 112TH ST, BURIEN, WA 98168-2143
(206) 334-8304
Mailing address
825 S 112TH ST, BURIEN, WA 98168-2143
(206) 334-8304
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160738878
WA
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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