Individual
ERIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8575 RIXLEW LANE, MANASSAS, VA 20109
(703) 257-9770
Mailing address
8575 RIXLEW LANE, MANASSAS, VA 20109
(703) 257-9770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603903
VA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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