Individual
MRS. SANDRA LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 471-2109
(814) 471-6902
Mailing address
1005 G EASR ATLANTIC, ALTOONA, PA 16602-6923
(814) 942-3543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007338
PA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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