Moore, Tabitha Jane

Moore, Tabitha Jane is an individual health care provider with primary practice located at 3415 Sheridan Rd , Kenosha WI 53140-1924. 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, Tabitha Jane can be contacted via phone (262) 657-6175.

Contact Information

Primary practice address
3415 Sheridan Rd Kenosha WI 53140-1924
Phone: (262) 657-6175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 247-19 Wisconsin

Profile Details

NPI number 1609140979
LBN Legal business name Moore, Tabitha Jane
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Mar 2nd, 2012 - about 13 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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