Individual
AUSTIN RAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
320 ALBANY ST, DAYTON, OH 45417-3402
(937) 496-6200
(937) 496-1990
Mailing address
320 ALBANY ST, DAYTON, OH 45417-3402
(937) 496-6200
(937) 496-1990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-012906
OH
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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