Individual
LENA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1880 N PERRY ST STE 100, OTTAWA, OH 45875-1164
(419) 523-9003
(419) 523-9143
Mailing address
1880 N PERRY ST STE 100, OTTAWA, OH 45875-1164
(419) 523-9003
(419) 523-9143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09627
OH
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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