Individual
MONTANA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1680 W IRVINGTON RD STE 130, TUCSON, AZ 85746-4174
(520) 623-5551
Mailing address
2219 SOUTHLEA DR, DAYTON, OH 45459-3640
(937) 681-4676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP029799T
NC
225100000X
Physical Therapist
Primary
CP036860T
AZ
225100000X
Physical Therapist
PT019879
OH
Other
Enumeration date
06/28/2022
Last updated
11/20/2024
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