Individual
DR. LYDIA KATHERINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1702 HILLCREST DR, BELLEVUE, NE 68005-3652
(402) 291-8500
Mailing address
206 S 19TH ST APT 612, OMAHA, NE 68102-1723
(815) 757-5684
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
3996
NE
Other
Enumeration date
08/06/2019
Last updated
11/27/2023
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