| NPI | 1003293259 |
|---|---|
| Former Name | JULIE-ANNE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4305) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ME PT4305) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2023-09-08 |