STEVEN RICHARD MOORE

CALDWELL, ID
NPI1417914755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  840RPT)
Enumeration Date2006-04-28
Last Update Date2007-07-08
Business Address
Mr. STEVEN RICHARD MOORE MPT
3110 E CLEVELAND SUITE A5
CALDWELL, ID 83605
Phone number: 208-453-8785
Mailing Address
Mr. STEVEN RICHARD MOORE MPT
1175 E MASTIFF
MERIDIAN, ID 83642
Phone number: 208-884-0441
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