Individual
MR. CARL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2400 HOSPITAL ROAD, TUSKEGEE, AL 36083
(334) 727-0550
(334) 725-3074
Mailing address
P.O. BOX 1042, TUSKEGEE INSTITUTE, AL 36087
(334) 727-0550
(334) 725-0374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH938
AL
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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