Individual
VICTORIA COFFEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
300 HATCHER ST, ROCKY MOUNT, VA 24151-1256
(540) 483-9261
(540) 483-0589
Mailing address
1025 LITTLE BEAR LN, SPOUT SPRING, VA 24593-3019
(540) 871-0056
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602912
VA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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