Individual
JEREMIAH ZANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8495 CRATER LAKE HWY, U.S. DEPARTMENT OF VETERANS AFFAIRS - SORCC, WHITE CITY, OR 97503
(541) 826-2111
Mailing address
2160 CRESTBROOK RD UNIT 5, MEDFORD, OR 97504-6001
(503) 341-4963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5649
OR
Other
Enumeration date
11/20/2009
Last updated
08/06/2014
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