PHYLLIS DIANE MOORE

COLUMBIA, TN
NPI1407940604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  246)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Mrs. PHYLLIS DIANE MOORE AAS
2710 TROTWOOD AVE
COLUMBIA, TN 38401-4903
Phone number: 391-388-7182
Mailing Address
Mrs. PHYLLIS DIANE MOORE AAS
3617 CRAIG BRIDGE RD
WILLIAMSPORT, TN 38487-2160
Phone number: 931-583-2757
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