Individual
MICHELE A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3100 TRADITION CIR, MT PLEASANT, SC 29466-7200
(843) 654-7945
Mailing address
9101 WESLEYAN RD, STE 100, INDIANAPOLIS, IN 46268-3103
(800) 603-6046
(317) 884-3388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
773
SC
Other
Enumeration date
06/02/2006
Last updated
06/05/2019
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