KATHLEEN M MOORE

CHARLES TOWN, WV
NPI1790043974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  001672)
Enumeration Date2012-04-25
Last Update Date2012-04-25
Business Address
-- KATHLEEN M MOORE PTA
50 MULBERRY TREE ST
CHARLES TOWN, WV 25414-1274
Phone number: 304-724-1101
Mailing Address
-- KATHLEEN M MOORE PTA
23 FRYE CT
LOVETTSVILLE, VA 20180-8619
Phone number: 540-822-5458