Individual provider · Type 1 NPI

Glen Moore Jr.

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1801235668 Active

Practice location

2625 S Durango Dr, Apt 201
Las Vegas, NV 89117-2881

Call (313) 244-5112 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1801235668

Glen Moore Jr.'s National Provider Identifier is 1801235668, issued on Jun 14, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 14, 2013.