Moore, Phyllis Diane

Moore, Phyllis Diane is an individual health care provider with primary practice located at 2710 Trotwood Ave , Columbia TN 38401-4903. 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, Phyllis Diane can be contacted via phone (391) 388-7182.

Contact Information

Primary practice address
2710 Trotwood Ave Columbia TN 38401-4903
Phone: (391) 388-7182
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 246 Tennessee

Profile Details

NPI number 1407940604
LBN Legal business name Moore, Phyllis Diane
Credentials Associate in Applied Science (AAS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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