Moore, Mandy

Moore, Mandy is an individual health care provider with primary practice located at 804 State St Ste 5, Quincy IL 62301-4968. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Moore, Mandy can be contacted via phone (217) 224-1750.

Contact Information

Primary practice address
804 State St Ste 5 Quincy IL 62301-4968
Phone: (217) 224-1750
Fax: (217) 224-0403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160003111 Illinois

Profile Details

NPI number 1275822033
LBN Legal business name Moore, Mandy
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2011
Last updated Apr 1st, 2011 - about 15 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.

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