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NPI Code Detail

MEDICARE: TERRI LYNN MOORE PT

MEDICARE:   TERRI LYNN MOORE  PT
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
12251N0400XNeurology Physical Therapist1094555TX

General Provider Information

NPI Number : 1013207802
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI LYNN MOORE PT
Provider Business Mailing Address
First Line : 411 N WASHINGTON AVE STE 4000
Second Line :
City : DALLAS
State : TX
Zip : 75246-1776
Country : US
Telephone Number : 214-820-9393
Fax Number : 214-820-8877
Provider Business Practice Location Address
First Line : 411 N WASHINGTON AVE STE 4000
Second Line :
City : DALLAS
State : TX
Zip : 75246-1776
Country : US
Telephone Number : 214-820-9393
Fax Number : 214-820-8877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2011
Last Update Date : 04/25/2011

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Directions to “ TERRI LYNN MOORE PT” Practice Location

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