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SUSAN P MOORE PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1659511350

Individual Registrant:
 SUSAN P MOORE PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4747 N OCEAN DR STE 261 LAUDERDALE BY THE SEA, FL 33308-2947 US
Tel: 954-785-4776  Fax: --

Contact information for business:
2725 NE 25TH PL  FT LAUDERDALE, FL 33305-1705 US
Tel: 954-561-6962  Fax: --

Registration Information:
NPI: 1659511350
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT4201

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSE NUMBERPT4201FL01




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