Individual
CHRIS LAWRENCE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1705 PYLE DR, KINGSFORD, MI 49802-1143
(906) 774-2900
Mailing address
1705 PYLE DR, KINGSFORD, MI 49802-1143
(906) 774-2900
(906) 774-2902
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501012530
MI
Other
Enumeration date
05/31/2007
Last updated
08/23/2017
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