Individual provider · Type 1 NPI
Elaine Marie Moore, DPT
Pediatric Physical Therapist · Boonville, NY
Practice location
110 Ford St
Boonville, NY 13309-1204
Mailing address
12334 Potato Hill Rd
Boonville, NY 13309-4836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 029516 (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…
3 other providers at this address
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About NPI 1649587486
Elaine Marie Moore, DPT's National Provider Identifier is 1649587486, issued on Aug 31, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Boonville, NY. The record was last updated on Aug 31, 2010.