Doctor Name: | MRS. AMY BOOZER MOYER |
NPI Number: | 1023170602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 002820 |
Business Practice Address: | 4405 Evans To Locks Rd Suite C Evans, GA - 308093603 |
Business Phone Number: | 7068541598 |
Business Fax Number: | |
Mailing Address: | 202 Folkstone Cir, AUGUSTA |
State: | GA |
Postal Code: | 309073773 |
Phone Number: | 7068608731 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 002820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |