| NPI | 1093750010 |
|---|---|
| Former Name | JOYCE ELAINE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0012036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026867) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2013-05-16 |