Moore, Kathleen M

Moore, Kathleen M is an sole proprietor health care provider with primary practice located at 50 Mulberry Tree St , Charles Town WV 25414-1274. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Moore, Kathleen M can be contacted via phone (304) 724-1101.

Contact Information

Primary practice address
50 Mulberry Tree St Charles Town WV 25414-1274
Phone: (304) 724-1101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 001672 West Virginia

Profile Details

NPI number 1790043974
LBN Legal business name Moore, Kathleen M
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2012
Last updated Apr 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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