Individual
ELIZABETH NELSON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
184 BUFFALO RD, CLARKSVILLE, VA 23927-9010
(434) 374-3024
Mailing address
3054 NELSON CHURCH RD, NELSON, VA 24580-3140
(434) 210-1569
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604504
VA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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