Organization
DISTINCTIVE PHYSICAL THERAPY AND WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HOWZE MOORE DPT (OWNER)
(281) 394-4704
Entity
Organization
Contact information
Practice address
9201 PINECROFT DR STE 200, SHENANDOAH, TX 77380-3889
(281) 394-4704
(281) 768-3602
Mailing address
27495 HALEY LN, SPRING, TX 77386-4211
(281) 394-4704
(281) 768-3602
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1208453
PHYSICAL THERAPIST
TX
Enumeration date
10/21/2021
Last updated
11/12/2021
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