| Doctor Name: | ELLIOT ROBERT MOORE |
| NPI Number: | 1831467547 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | |
| Business Practice Address: | 10776 Grays Corner Rd Unit 4 Berlin, MD - 218113561 |
| Business Phone Number: | 4106412900 |
| Business Fax Number: | 4106412914 |
| Mailing Address: | 10776 Gray's Corner Rd., Unit # 4, BERLIN |
| State: | MD |
| Postal Code: | 218113561 |
| Phone Number: | 4437368554 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2011 |
| NPI Last Update Date: | 02/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| 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 |