Individual
MS. HOLLY LANELL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
825 N BROADWAY AVE, SUITE 400, OKLAHOMA CITY, OK 73102-6012
(405) 609-3600
(405) 605-8638
Mailing address
6904 E RENO AVE, MIDWEST CITY, OK 73110-2152
(405) 610-2488
(405) 610-2484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2909
OK
Other
Enumeration date
03/31/2006
Last updated
01/20/2009
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