Individual provider · Type 1 NPI

Jaquelyn D. Moore, P.T.

Specialist · Phoenix, AZ

NPI number 1821180829 Active

Practice location

15002 N 32nd St
Phoenix, AZ 85032-4441

Call (602) 867-5223 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5759 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1821180829

Jaquelyn D. Moore, P.T.'s National Provider Identifier is 1821180829, issued on Sep 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 9, 2007.