Individual
JOHN MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2373 HARRISON AVE, CINCINNATI, OH 45211-7927
(513) 662-5880
Mailing address
2373 HARRISON AVE, CINCINNATI, OH 45211-7927
(513) 662-5880
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06139
OH
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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