MICHAEL SHANE MOORE

MONTGOMERY, AL
NPI1972115582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: AL  PTA9712)
Enumeration Date2020-08-17
Last Update Date2020-08-17
Business Address
MICHAEL SHANE MOORE LPTA
2757 VANDY CT
MONTGOMERY, AL 36110-1339
Phone number: 334-669-1430
Mailing Address
MICHAEL SHANE MOORE LPTA
2757 VANDY CT
MONTGOMERY, AL 36110-1339
Phone number: 334-669-1430
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