Individual
MISS ANNA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8017 DOGWOOD LN, MILAN, TN 38358-6805
(731) 686-8373
Mailing address
80 LOST CREEK DR, JACKSON, TN 38305-8407
(731) 444-4444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6114
TN
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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