Individual provider · Type 1 NPI

Mary Viriginia Moore

Physical Therapy Assistant · Wake Village, TX

NPI number 1023839628 Active

Practice location

600 N Kings Hwy Ste 3
Wake Village, TX 75501-5787

Mailing address

303 N Center St
New Boston, TX 75570-2918

Other practice locations

  • 303 N Center St, New Boston, TX 75570-2918 · (903) 628-7700
  • 5416 Plaza Dr, Texarkana, TX 75503-1661 · (903) 794-0333

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2164356 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1023839628

Mary Viriginia Moore's National Provider Identifier is 1023839628, issued on Oct 17, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wake Village, TX. The record was last updated on Oct 17, 2024.