Individual
CAROLINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
44 BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(784) 787-7090
Mailing address
44 BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(784) 787-7090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2306606290
VA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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