Individual
CONRAD MOOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4325 N JOSEY LN STE 103, CARROLLTON, TX 75010-4636
(469) 521-1919
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1380994
TX
Other
Enumeration date
06/22/2023
Last updated
01/05/2024
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