Individual
JUSTIN DONALD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
4819 1ST ST S, ARLINGTON, VA 22204-1315
(703) 706-3162
(703) 706-3246
Mailing address
4819 1ST ST S, ARLINGTON, VA 22204-1315
(703) 706-3162
(703) 706-3246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203337
VA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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