| NPI | 1902336795 |
|---|---|
| Former Name | RACHEL ANNE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11336) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PENDING) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-08-30 |