Individual
OCTAVIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 HEDRICK DR, THOMASVILLE, NC 27360-6009
(336) 472-2017
Mailing address
100 HEDRICK DR, THOMASVILLE, NC 27360-6009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5438
NC
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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