Individual
ANNA K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3688 VETERANS MEMORIAL DR, SUITE 300, HATTIESBURG, MS 39401-8246
(601) 543-0221
(601) 543-0201
Mailing address
37 TEDINGTON, HATTIESBURG, MS 39402-7790
(601) 579-7549
(256) 350-7757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1033
MS
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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