Individual
WHITNEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 IRONWOOD CIRCLE, SUITE 230, CIRCLE CENTRE BUILDING,, SOUTH BEND, IN 46635
(574) 387-4049
Mailing address
2012 IRONWOOD CIRCLE, SUITE 230, CIRCLE CENTRE BUILDING,, SOUTH BEND, IN 46635
(574) 387-4049
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004421A
IN
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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