LACIE MOORE, P.T.A.

Physical Therapy Assistant

Active Individual
NPI: 1497023097

Practice Address

6011 UNIVERSITY BLVD
SUITE 120
Ellicott City, MD 21043

Phone: (410) 203-0391

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes A3664 (MD)

Frequently Asked Questions

NPI 1497023097 is the National Provider Identifier for LACIE MOORE, P.T.A., a Physical Therapy Assistant provider located in Ellicott City, MD. This NPI was enumerated on December 9, 2011.
LACIE MOORE, P.T.A. practices at 6011 UNIVERSITY BLVD, SUITE 120, Ellicott City, MD 21043.

Quick Facts

NPI
1497023097
Type
Individual
Enumerated
Dec 9, 2011
Last Updated
Jul 16, 2012

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