Individual
DR. GREGORY M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
37367 6 MILE RD, LIVONIA, MI 48152-2775
(734) 402-2335
(734) 402-2338
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015482
MI
2251S0007X
Sports Physical Therapist
5501015482
MI
2251X0800X
Orthopedic Physical Therapist
5501015482
MI
Other
Enumeration date
02/07/2011
Last updated
01/03/2023
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