Individual
DR. KELLY MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2401 RESEARCH BLVD STE 109, ROCKVILLE, MD 20850-3215
(301) 657-5650
(301) 657-5651
Mailing address
13313 GUARNERE DR, DEL VALLE, TX 78617-3083
(512) 552-1463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1355785
TX
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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