Individual
JOSHUA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
30810 VICKIE LN, MAGNOLIA, TX 77354-5758
(281) 731-2063
Mailing address
30810 VICKIE LN, MAGNOLIA, TX 77354-5758
(281) 731-2063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2164166
TX
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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