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1376740712
GINA DIANA MOORE
PHILADELPHIA, PA
NPI
1376740712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT009919E)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- GINA DIANA MOORE MPT
511 N BROAD ST
PHILADELPHIA, PA 19123-3230
Phone number: 215-923-6031
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Mailing Address
-- GINA DIANA MOORE MPT
4812 N 5TH ST
PHILADELPHIA, PA 19120-4125
Phone number: 215-324-6082
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