MICHAEL SHANE MOORE LPTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1972115582- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPTA
- Status
- Active
Contact & Location
- Address
- 2757 VANDY CT, MONTGOMERY, AL, 361101339
- Phone
- (334) 669-1430
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: AL #PTA9712