| Doctor Name: | MR. RICHARD EUGENE MOORE |
| NPI Number: | 1588876247 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT, ATC |
| License Number: | 2305202139 |
| Business Practice Address: | 4416 Ivy Commons Charlottesville, VA - 229037123 |
| Business Phone Number: | 4342493756 |
| Business Fax Number: | |
| Mailing Address: | 1410 Beacon Hl, AFTON |
| State: | VA |
| Postal Code: | 229209600 |
| Phone Number: | 4342493756 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305202139 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |