Individual
PAUL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9000 BRYN MAWR CIR, FORT SMITH, AR 72908-8919
(479) 459-2625
Mailing address
9000 BRYN MAWR CIR, FORT SMITH, AR 72908-8919
(479) 459-2625
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3999
AR
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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