Individual
MARTHA F MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5201 SW 31ST AVE APT 105, FORT LAUDERDALE, FL 33312-6922
(954) 547-3749
Mailing address
5201 SW 31ST AVE APT 105, FORT LAUDERDALE, FL 33312-6922
(954) 547-3749
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA38723
FL
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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