Individual
THERESA MARY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5248 COURSEVIEW DR # 2302, MASON, OH 45040-2302
(513) 398-6300
Mailing address
1032 SAN ANGELO DR, HAMILTON, OH 45013-1880
(513) 432-1456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33-018522
OH
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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