Kwame Marcus Moore, DPT Valid NPI

Individual provider · Physical Therapist · Jacksonville, AR

NPI

1700448214

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

4401 (AR)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-07-04

Last updated

2021-10-06