SHATAVIA MOORE

WEST MEMPHIS, AR
NPI1245910397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  4855)
Enumeration Date2023-07-24
Last Update Date2023-07-24
Business Address
SHATAVIA MOORE PTA
200 W BROADWAY ST
WEST MEMPHIS, AR 72301-3904
Phone number: 870-394-7000
Mailing Address
SHATAVIA MOORE PTA
200 W BROADWAY ST
WEST MEMPHIS, AR 72301-3904
Phone number: 870-394-7000
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