| 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 |