NPI | 1942200654 |
---|---|
Former Name | DEBORAH K MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01731) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2002021829) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2014-01-28 |