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Jennifer Sloop Moore, DPT

Physical Therapist in La Grande, OR. Individual provider (NPI-1).

NPI number1164022158
StatusActive
Last updated in NPPESOct 28, 2020

Details

NPI
1164022158
Entity type
Individual (NPI-1)
Name
Jennifer Sloop Moore
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2020
Certification date
Oct 28, 2020
Last updated
Oct 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
2251N0400X Physical Therapist, Neurology––

Other names

  • Jennifer Sloop (Former Name)

Practice location

610 Sunset Dr
La Grande, OR 97850-1269

Phone 541-963-1437

Mailing address

610 Sunset Dr
La Grande, OR 97850-1269

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