Moore, Mary Melissa

Moore, Mary Melissa is an sole proprietor health care provider with primary practice located at 2500 Niles Rd Suite 3, Saint Joseph MI 49085-3237. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moore, Mary Melissa can be contacted via phone (269) 428-1550.

Contact Information

Primary practice address
2500 Niles Rd Suite 3 Saint Joseph MI 49085-3237
Phone: (269) 428-1550
Fax: (269) 428-6762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501010163 Michigan

Profile Details

NPI number 1639326184
LBN Legal business name Moore, Mary Melissa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2008
Last updated Aug 26th, 2008 - about 18 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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