Individual
DELBERTA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
419 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 329-3565
Mailing address
419 MORGANTOWN ST, KINGWOOD, WV 26537-1095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001570
WV
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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