Individual
RAYMOND G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6225 BRANDON AVE STE 185, SPRINGFIELD, VA 22150-2525
(703) 386-7204
Mailing address
596 W BURTON FARM DR, ARAPAHOE, NC 28510-1208
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305215742
VA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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