Individual
KAREN JEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
121 RACINE DR, WILMINGTON, NC 28403-8705
(910) 452-4070
Mailing address
121 RACINE DR, WILMINGTON, NC 28403-8705
(910) 452-4070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2572
NC
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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