| NPI | 1407270564 |
|---|---|
| Former Name | ELIZABETH MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7074) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12584) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-12-20 |