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ANTOINETTE A MOORE ATC
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1336618842
Individual Registrant: ANTOINETTE A MOORE ATC
Gender: F
Not Sole Proprietor
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: --
Tel: 484-365-7615 Fax: --
Contact information for business:
475 ANDERSON DR WILMINGTON, DE 19801-5763 US
Tel: 302-242-3894 Fax: --
Tel: 302-242-3894 Fax: --
Registration Information:
NPI: 1336618842
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
