Individual
HEATHER JUDAEA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
26 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 577-3355
(910) 577-4556
Mailing address
26 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 577-3355
(910) 577-4556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11084
NC
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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