Individual
ASHLEY MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
Mailing address
248 PEBBLE BROOK LN, BELTON, SC 29627-9501
(864) 934-2102
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
6449
SC
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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