Individual
MATTHEW D MOORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2016 S ALABAMA AVE, ATTN: PHYSICAL THERAPY DEPT, MONROEVILLE, AL 36460-3044
(251) 743-7474
(251) 743-7429
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3061
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
05/29/2013
Last updated
05/29/2013
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