GARY MOORE

NEWTON, KS
NPI1407151756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-01561)
Enumeration Date2011-01-18
Last Update Date2011-01-18
Business Address
MR. GARY MOORE PTA
200 SW 14TH ST
NEWTON, KS 67114-4701
Phone number: 316-283-4770
Mailing Address
MR. GARY MOORE PTA
200 SW 14TH ST
NEWTON, KS 67114-4701
Phone number: 316-283-4770
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