Moore, Octavia

Moore, Octavia is an individual health care provider with primary practice located at 100 Hedrick Dr , Thomasville NC 27360-6009. 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, Octavia can be contacted via phone (336) 472-2017.

Contact Information

Primary practice address
100 Hedrick Dr Thomasville NC 27360-6009
Phone: (336) 472-2017
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A5438 North Carolina

Profile Details

NPI number 1578164968
LBN Legal business name Moore, Octavia
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2020
Last updated Nov 3rd, 2020 - about 5 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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