NPI | 1609920321 |
---|---|
Other Name | LAURA CHRISTINE MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1341064) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 30169) |
225100000X Physical Therapist (Licence: OH 10658) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2021-03-03 |