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Individual

MRS. LESLEY HARRINGTON MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
95 TROTTER HILLS CIR, PO BOX 4359, PINEHURST, NC 28374-4359
(910) 985-8150
(910) 985-8169
Mailing address
95 TROTTER HILLS CIR, PO BOX 4359, PINEHURST, NC 28374-7903
(910) 985-8150
(910) 985-8169

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2475
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079NG
BCBS
NC
05
3403400
NC
01
882813067
TRICARE-TAX ID
Enumeration date
03/20/2007
Last updated
07/16/2025
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