Doctor Name: | MRS. LEILA C. MOORE |
NPI Number: | 1205104445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 877094448 |
Business Practice Address: | 19 E Genesee St Baldwinsville, NY - 130272501 |
Business Phone Number: | 3156355000 |
Business Fax Number: | 3156353663 |
Mailing Address: | 4651 Nixon Park Dr, SYRACUSE |
State: | NY |
Postal Code: | 132159759 |
Phone Number: | 3154920592 |
Fax Number: | 3154582975 |
NPI Enumeration Date: | 12/02/2011 |
NPI Last Update Date: | 12/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 877094448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |