Individual
DEBRA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
650 PHIPPS BLVD NE, ATLANTA, GA 30326-3200
(404) 781-9950
Mailing address
2603 PEACHTREE RD NE, ATLANTA, GA 30305-3603
(478) 737-8719
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2872
GA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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