Moore, Lou Ann

Moore, Lou Ann is an sole proprietor health care provider with primary practice located at 10019 Wicker Park Pl , Palmetto FL 34221-1109. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Ambulatory Health Care Facilities / Physical Therapy is her primary health care specialty. Moore, Lou Ann can be contacted via phone (928) 201-4055.

Contact Information

Primary practice address
10019 Wicker Park Pl Palmetto FL 34221-1109
Phone: (928) 201-4055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT18899 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT18899 Florida

Profile Details

NPI number 1265523161
LBN Legal business name Moore, Lou Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Mar 23rd, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1265523161 NPPES
Florida MEDICAID 888827200

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