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Individual

BEN CODY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
110 SCOTTSVILLE CTR STE B, SCOTTSVILLE, VA 24590-7001
(540) 437-3556
Mailing address
1021 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216408
VA
226300000X
Kinesiotherapist
1945
MS

Other

Enumeration date
11/21/2019
Last updated
12/27/2024
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