| NPI | 1033743869 |
|---|---|
| Former Name | HEATHER MOOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9905) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2021-08-18 |