AUDRA MOORE

FAIRMONT, WV
NPI1689844789
Former NameAUDRA GALLUCCI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WV  2037)
Enumeration Date2008-03-04
Last Update Date2008-03-04
Business Address
-- AUDRA MOORE PT
200 GASTON AVE
FAIRMONT, WV 26554-2739
Phone number: 203-624-6554
Mailing Address
-- AUDRA MOORE PT
200 GASTON AVE
FAIRMONT, WV 26554-2739
Phone number: 203-624-6554
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