Organization
MOORE PHYSICAL THERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC MOORE (OWNER)
(480) 218-1344
Entity
Organization
Contact information
Practice address
2500 S POWER RD, SUITE 123, MESA, AZ 85209-6686
(480) 218-1344
(480) 218-1356
Mailing address
2500 S POWER RD, SUITE 123, MESA, AZ 85209-6686
(480) 218-1344
(480) 218-1356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5048
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
706210
—
AZ
Enumeration date
10/12/2006
Last updated
11/19/2007
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