Individual provider · Type 1 NPI

Selegne Altagracia Moore, DPT

Pediatric Physical Therapist · Sunrise, FL

NPI number 1124276571 Active

Practice location

10250 NW 53rd St
Sunrise, FL 33351-8023

Mailing address

16440 S Post Rd Apt 301
Weston, FL 33331-3560

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT24176 (FL)
Pediatric Physical Therapist 2251P0200X027917-1 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1124276571

Selegne Altagracia Moore, DPT's National Provider Identifier is 1124276571, issued on Aug 27, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Sunrise, FL. The record was last updated on Aug 27, 2008.