Gina Diana Moore MPT

NPI 1376740712 - Physical Therapist - 225100000X

NPI Details
NPI 1376740712
Gender Female
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
511 N BROAD ST
PHILADELPHIA PA, 19123-3230, US
Phone (215) 923-6031
Fax (215) 923-8269
Business Location
4812 N 5TH ST
PHILADELPHIA PA, 19120-4125, US
Phone (215) 324-6082
Fax
Toxanomy
Taxonomy Code 225100000X
License State Pennsylvania
License Number PT009919E
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According to our database, Gina Diana Moore MPT NPI is 1376740712, taxonomy code is 225100000X and license number is PT009919E, license state is located at Pennsylvania. Gina Diana Moore MPT physically located at 511 N Broad St, Philadelphia PA, 19123-3230. NPI Number Gina Diana Moore MPT has the Individual type.

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1376740712 NPI number is provided on an as is basis without warranty of any kind. 1376740712 is maintained by the National Plan & Provider Enumeration System. The contents of Gina Diana Moore MPT are for informational purposes only.