| 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 |