NPI | 1255380853 |
---|---|
Professional Name | LAUR SIMCHAK MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 5964) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5964) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2009-12-03 |