Individual
SANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PHD
Contact information
Practice address
600 WHITESPORT CIR SW, HUNTSVILLE, AL 35801-6495
(256) 882-2003
(256) 705-4630
Mailing address
600 WHITESPORT CIR SW, HUNTSVILLE, AL 35801-6495
(256) 882-2003
(256) 705-4630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6588
AL
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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