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Madison Moore

Physical Therapist in Saint Petersburg, FL. Individual provider (NPI-1).

NPI number1831920222
StatusActive
Last updated in NPPESAug 8, 2024

Details

NPI
1831920222
Entity type
Individual (NPI-1)
Name
Madison Moore
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2024
Certification date
Aug 8, 2024
Last updated
Aug 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist42119FLYes

Practice location

4020 Park St N Ste 101
Saint Petersburg, FL 33709-4030

Phone 727-388-4688

Mailing address

4020 Park St N Ste 101
Saint Petersburg, FL 33709-4030

Phone 727-388-4688

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