Lakesha Marion Moore
Lakesha Marion Moore is a Physical Therapy Assistant in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.
- Licensed in
- WI
- In the registry since
- 2019
Practice location Address checks out
6735 W Bradley RdMilwaukee, WI 53223-3325
Phone: (414) 362-0847
Fax: (414) 371-2390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2886-19 (WI) |
|---|
Record details
| NPI number | 1912460403 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 10, 2019 |
| Last updated in NPPES | April 10, 2019 |
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