Individual
SUSAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8859 FOX DR, #300, THORNTON, CO 80260-6899
(303) 428-4646
(303) 429-6255
Mailing address
8859 FOX DR, #300, THORNTON, CO 80260-6899
(303) 428-4646
(303) 429-6255
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1804
CO
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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