Individual
MARINA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
165 NATCHEZ TRACE, BOWLING GREEN, KY 42103-7940
(270) 782-7800
(270) 782-3274
Mailing address
165 NATCHEZ TRACE, BOWLING GREEN, KY 42103-7940
(270) 782-7800
(270) 782-3274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001763
KY
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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