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ANTOINETTE A MOORE ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1336618842

Individual Registrant:
 ANTOINETTE A MOORE ATC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1570 BALTIMORE PIKE  LINCOLN UNIVERSITY, PA 19352-9141 US
Tel: 484-365-7615  Fax: --

Contact information for business:
475 ANDERSON DR  WILMINGTON, DE 19801-5763 US
Tel: 302-242-3894  Fax: --

Registration Information:
NPI: 1336618842
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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