MEDICARE: ANNA BRITTON MOORE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1317233	TX

General Provider Information

NPI Number	:	1912353731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA BRITTON MOORE PT, DPT

Provider Business Mailing Address
First Line	:	9800 HILLWOOD PKWY STE 140
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1532
Country	:	US
Telephone Number	:	817-221-8248
Fax Number	:	682-593-3599

Provider Business Practice Location Address
First Line	:	9800 HILLWOOD PKWY STE 140
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1532
Country	:	US
Telephone Number	:	817-221-8248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	05/01/2023

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