TIFFANY MOORE

MONROE, LA
NPI1962769927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA1729)
Enumeration Date2012-04-16
Last Update Date2012-04-16
Business Address
-- TIFFANY MOORE
1000 MCKEEN PL
MONROE, LA 71201-4406
Phone number: 318-388-3734
Mailing Address
-- TIFFANY MOORE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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