Individual provider · Type 1 NPI
Kelly Ann Moore, PT, DPT
Orthopedic Physical Therapist · Park Ridge, IL
Practice location
1875 W Dempster St Ste G10
Park Ridge, IL 60068-1100
Mailing address
1333 W Touhy Ave Apt 103
Park Ridge, IL 60068-3164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | 070.011258 (IL) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1467764084
Kelly Ann Moore, PT, DPT's National Provider Identifier is 1467764084, issued on Jul 12, 2010. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Park Ridge, IL. The record was last updated on Jul 12, 2010.