Individual
MERIDETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 SAWMILL RD, RALEIGH, NC 27615-4320
(919) 848-7000
Mailing address
7120 BROOMFIELD WAY, RALEIGH, NC 27615-5606
(304) 417-2180
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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