Individual
DR. HEATHER E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1501 LOWER STATE RD, STE 308, NORTH WALES, PA 19454-1216
(215) 997-9898
(215) 997-9899
Mailing address
1501 LOWER STATE RD, STE 308, NORTH WALES, PA 19454-1216
(215) 997-9898
(215) 997-9899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017352
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1818826
HIGHMARK BS
PA
01
—
1962428391
GROUP NPI
PA
01
—
2673996000
INDEPENDENCE PC/KHPE
PA
Enumeration date
07/27/2006
Last updated
10/30/2011
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