Organization
CHAD A MOORE PT LLC
Active
Other names
Moore Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD A MOORE PT (PHYSICAL THERAPIST)
(928) 225-0287
Entity
Organization
Contact information
Practice address
3819 E FOXTAIL DR, FLAGSTAFF, AZ 86004-7697
(928) 225-0287
Mailing address
3819 E FOXTAIL DR, FLAGSTAFF, AZ 86004-7697
(928) 225-0287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6193
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127444
—
AZ
Enumeration date
11/20/2006
Last updated
11/11/2015
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