Organization
COURTNEY J MOORE, PHYSICAL THERAPY, INC.
Active
Other names
Selma Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COURTNEY J MOORE DPT (OWNER)
(559) 896-6565
Entity
Organization
Contact information
Practice address
2251 COUNTRY CLUB LN, SELMA, CA 93662-3859
(559) 896-6565
(559) 896-5740
Mailing address
2251 COUNTRY CLUB LN, SELMA, CA 93662-3859
(559) 896-6565
(559) 896-5740
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
67350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D03592
RR MEDICARE GROUP PTAN
CA
Enumeration date
01/24/2006
Last updated
10/19/2011
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