Individual
CLAUDIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 KNOLLWOOD DR, GREENVILLE, SC 29607-5219
(864) 313-0161
Mailing address
702 KNOLLWOOD DR, GREENVILLE, SC 29607-5219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2950
SC
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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