Individual
MASON LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9881 BROKEN LAND PKWY STE 103, COLUMBIA, MD 21046-3013
(828) 231-0624
Mailing address
252 FOREST HILL DR, ASHEVILLE, NC 28803-2406
(828) 231-0624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21039
NC
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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