Individual
ANGELA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1995 SOUTH MAIN STREET, SUITE 801, BLACKSBURG, VA 24060
(540) 951-2703
Mailing address
403 HARVEY ST, RADFORD, VA 24141-2327
(540) 731-4849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004716
VA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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