Individual
STEPHANIE MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11618 US HWY 70 W STE 100, CLAYTON, NC 27520-2276
(919) 373-2000
Mailing address
11618 US HWY 70 W STE 100, CLAYTON, NC 27520-2276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6375
NC
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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