Individual
MR. BRYAN ANDERSON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1815 ROSELAWN AVE, MONROE, LA 71201-5433
(318) 322-7050
(318) 322-7031
Mailing address
PO BOX 5777, SHREVEPORT, LA 71135-5777
(318) 322-7050
(318) 322-7031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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