Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 GRAY BIRCH DR, AUGUSTA, ME 04330-6105
(207) 621-7100
(207) 621-7101
Mailing address
37 GRAY BIRCH DR, AUGUSTA, ME 04330-6105
(207) 621-7100
(207) 621-7101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5134
ME
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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