Moore, Lou Ann
Moore, Lou Ann is an sole proprietor health care provider with primary practice located at 10019 Wicker Park Pl , Palmetto FL 34221-1109. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Ambulatory Health Care Facilities / Physical Therapy is her primary health care specialty. Moore, Lou Ann can be contacted via phone (928) 201-4055.Contact Information
Primary practice address
10019 Wicker Park Pl
Palmetto FL 34221-1109
Phone: (928) 201-4055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | PT18899 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT18899 | Florida |
Profile Details
| NPI number | 1265523161 |
|---|---|
| LBN Legal business name | Moore, Lou Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Mar 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265523161 | NPPES |
| Florida | MEDICAID | 888827200 |
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