Individual
MR. MARK WILLIAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
223 PITTSBURGH ST, SAXONBURG, PA 16056-2217
(724) 352-9445
(724) 352-9061
Mailing address
223 PITTSBURGH ST, SAXONBURG, PA 16056-2217
(724) 352-9445
(724) 352-9061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008140
PA
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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