RUSSELL KEITH MOORE

LITTLE ROCK, AR
NPI1982815395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT 2671)
Enumeration Date2007-05-25
Last Update Date2007-07-08
Business Address
Mr. RUSSELL KEITH MOORE P.T.
9601 INTERSTATE 630 EXIT 7 PHYSICAL THERAPY
LITTLE ROCK, AR 72205-7202
Phone number: 501-202-2685
Mailing Address
Mr. RUSSELL KEITH MOORE P.T.
104 LILY DR
MAUMELLE, AR 72113-5824
Phone number: 501-851-3298