Individual
LORA J MOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 PHILLIPS AVE, PITTSBURGH, PA 15217-2254
(412) 422-5100
Mailing address
406 TYBURN DR, WEXFORD, PA 15090-7465
(724) 935-9641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001730L
PA
Other
Enumeration date
05/18/2007
Last updated
03/08/2021
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