Michael C Moore, PTA
Physical Therapy Assistant in Oakdale, NY. Individual provider (NPI-1).
NPI number1366005282
StatusActive
Last updated in NPPESApr 16, 2019
Details
- NPI
- 1366005282
- Entity type
- Individual (NPI-1)
- Name
- Michael C Moore
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2019
- Last updated
- Apr 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 010896-1 | NY | Yes |
Practice location
305 Locust AveOakdale, NY 11769-1652
Phone 631-218-5900
Mailing address
38 Seminole DrCommack, NY 11725-4625
Phone 917-716-5572
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Other Physical Therapy Assistant providers in Oakdale, NY
- Mary Ann Beatty, PTANPI 1477016343
- Jamie FlowersNPI 1932764776
- Karen Mary Prikios, PTANPI 1669935854
- Mary Ellen VolkertNPI 1225590417
- Joanna N/A WalshNPI 1154884344
All 6 Physical Therapy Assistant providers in Oakdale · All 300 providers in Oakdale
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