Individual
RYAN COLIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 FOREST ST, PEABODY, MA 01960-3907
(781) 521-4302
Mailing address
8 WILLIAMS ST, SALEM, MA 01970-3822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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