Individual
ANDI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
700 N COLLEGE AVE, EL DORADO, AR 71730-4404
(870) 863-8131
Mailing address
301 PINECREST RD, ARCADIA, LA 71001-5219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09418R
LA
225100000X
Physical Therapist
Primary
4634
AR
Other
Enumeration date
06/30/2016
Last updated
07/30/2019
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