Rebecca Moore
Physical Therapy Assistant in Ottawa, IL. Individual provider (NPI-1).
NPI number1689257578
StatusActive
Last updated in NPPESApr 29, 2021
Details
- NPI
- 1689257578
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2021
- Certification date
- Apr 27, 2021
- Last updated
- Apr 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
505 College AveOttawa, IL 61350-3858
Phone 815-434-1130
Mailing address
25749 S Red Stable LnChannahon, IL 60410-8611
Phone 630-777-0448
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All 11 Physical Therapy Assistant providers in Ottawa · All 486 providers in Ottawa
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