Individual
FRANK MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2200 CROW LN STE 201, MYRTLE BEACH, SC 29577-1663
(843) 848-5001
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0260601
NY
225100000X
Physical Therapist
Primary
7883
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0260601
LICENSE
NY
Enumeration date
02/16/2007
Last updated
01/07/2026
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