Individual
AMY ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 E BROADWAY RD, MESA, AZ 85206-1308
(480) 296-2680
Mailing address
1329 COPILOT WAY, HOBART, WI 54115-7004
(920) 265-9462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10725-024
WI
225100000X
Physical Therapist
Primary
7673
AZ
Other
Enumeration date
10/09/2007
Last updated
11/06/2023
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