Moore, Susan P

Moore, Susan P is an individual health care provider with primary practice located at 4747 N Ocean Dr Ste 261, Lauderdale By The Sea FL 33308-2947. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moore, Susan P can be contacted via phone (954) 785-4776.

Contact Information

Primary practice address
4747 N Ocean Dr Ste 261 Lauderdale By The Sea FL 33308-2947
Phone: (954) 785-4776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4201 Florida

Profile Details

NPI number 1659511350
LBN Legal business name Moore, Susan P
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2009
Last updated Feb 20th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659511350 NPPES
Florida Other PT4201 STATE LICENSE NUMBER

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