| NPI | 1083143846 |
|---|---|
| Former Name | CAROLYN CHRISTINE WEISER MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60560556) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60560556) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT60560556) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-06-05 |