Individual
LISA JONES-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 BEVILLE RD, SUITE G, SOUTH DAYTONA, FL 32119-1712
(386) 756-4395
(866) 426-2811
Mailing address
5435 WATERTOWER CT, # 285, CINCINNATI, OH 45227-2676
(386) 756-4395
(866) 426-2811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06059
OH
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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