Individual
MELISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 S ELM ST, KEMP, TX 75143-7713
(903) 498-8073
Mailing address
1509 E MAIN ST, GUN BARREL CITY, TX 75156-3989
(903) 880-8705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2132009
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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