Individual
MARISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5610 BETHELVIEW RD STE 400, CUMMING, GA 30040-7523
(770) 781-8851
(770) 781-8227
Mailing address
912 ASHFORD PKWY, DUNWOODY, GA 30338-5540
(336) 209-4247
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT011816
GA
Other
Enumeration date
01/28/2015
Last updated
03/04/2015
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