Individual
DEBORAH JEAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1181 N WILLIAMSON ST, GIDDINGS, TX 78942-1213
(979) 542-3611
Mailing address
7700 N CAPITAL OF TEXAS HWY, #412, AUSTIN, TX 78731-1183
(512) 775-6223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1132389
TX
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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