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Floyd Alexander Moore III, PTA

Physical Therapy Assistant in North Chesterfield, VA. Individual provider (NPI-1).

NPI number1013676071
StatusActive
Last updated in NPPESDec 16, 2021

Details

NPI
1013676071
Entity type
Individual (NPI-1)
Name
Floyd Alexander Moore III
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Dec 16, 2021
Certification date
Dec 16, 2021
Last updated
Dec 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306604873VAYes

Practice location

7833 Etching St
North Chesterfield, VA 23237-1984

Phone 434-632-4419

Mailing address

7833 Etching St
North Chesterfield, VA 23237-1984

Phone 434-632-4419

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