LAURA MOORE

RUPERT, ID
NPI1760837199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA4619)
Enumeration Date2016-05-04
Last Update Date2016-05-04
Business Address
-- LAURA MOORE
75 E 400 N
RUPERT, ID 83350-9571
Phone number: 208-431-8386
Mailing Address
-- LAURA MOORE
75 E 400 N
RUPERT, ID 83350-9571
Phone number:
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