Individual
MRS. MARGUERITE THERESA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, ATC
Contact information
Practice address
1401 PRESQUE ISLE, NORTHERN MICHIGAN UNIVERSITY, SCHOOL OF HEALTH AND HUMAN PERFORMANCE, PEIF BUILDING, MARQUETTE, MI 49855-2634
(906) 227-2239
(906) 227-2181
Mailing address
47 WHITE OAK DR, MARQUETTE, MI 49855-9450
(906) 226-4549
(906) 227-2181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
02/05/2014
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