Doctor Name: | MRS. MICHELLE CARA MOORE |
NPI Number: | 1679756332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 027321-1 |
Business Practice Address: | 106 Montcalm St Ticonderoga, NY - 128831353 |
Business Phone Number: | 5185852664 |
Business Fax Number: | 5185857892 |
Mailing Address: | 106 Montcalm St, TICONDEROGA |
State: | NY |
Postal Code: | 128834101 |
Phone Number: | 5185859285 |
Fax Number: | 5185859286 |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 027321-1 |
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 |