Mrs. Phyllis Diane Moore I, AAS
Mrs. Phyllis Diane Moore I, AAS is a Physical Therapy Assistant in Columbia, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.
- Licensed in
- TN
- In the registry since
- 2006
Practice location Address checks out
2710 Trotwood AveColumbia, TN 38401-4903
Phone: (391) 388-7182
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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 246 (TN) |
|---|
Record details
| NPI number | 1407940604 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AAS |
| Sole proprietor | No |
| NPI enumerated | October 3, 2006 |
| Last updated in NPPES | July 8, 2007 |
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