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1578164968
OCTAVIA MOORE
THOMASVILLE, NC
NPI
1578164968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A5438)
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
OCTAVIA MOORE PTA
100 HEDRICK DR
THOMASVILLE, NC 27360-6009
Phone number: 336-472-2017
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Mailing Address
OCTAVIA MOORE PTA
100 HEDRICK DR
THOMASVILLE, NC 27360-6009
Phone number:
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