Individual
JAMES C. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
757 S MCCORD RD, HOLLAND, OH 43528-8745
(419) 865-1727
Mailing address
934 W HIGH ST, BRYAN, OH 43506-1517
(419) 553-6436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 012254
OH
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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