Individual
BEAU MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 VETERANS MEMORIAL BLVD STE 100, METAIRIE, LA 70005-3060
(504) 834-9259
(504) 834-9281
Mailing address
321 VETERANS MEMORIAL BLVD STE 100, METAIRIE, LA 70005-3060
(504) 834-9259
(504) 834-9281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10912
LA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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