DUSTIN C MOORE

LAKE CITY, FL
NPI1265717912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  21966)
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
-- DUSTIN C MOORE PTA
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number: 386-755-3164
Mailing Address
-- DUSTIN C MOORE PTA
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number:
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