Individual
MEGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
772 N. HWY 47, SUITE A, WARRENTON, MO 63383
(636) 456-8883
Mailing address
772 N. HWY 47, SUITE A, WARRENTON, MO 63383
(636) 456-8883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013028734
MO
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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