Individual
ALVITA CORINNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 E W M WATSON BLVD, DAINGERFIELD, TX 75638-2013
(903) 645-3915
Mailing address
4140 TEXAS HIGHWAY 11 W, DAINGERFIELD, TX 75638-7336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2118351
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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