Organization
FITNESS ELITE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MOORE DPT (PHYSICAL THERAPIST)
(508) 863-0843
Entity
Organization
Contact information
Practice address
637 UNION ST, NEWPORT, VT 05855-5498
(802) 334-7177
Mailing address
PO BOX 218, DERBY, VT 05829-0218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
01/04/2023
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