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Archie Moore, MPT
NPI 1427062314 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6958 Grandwood Way
San Jose, CA 95120 - Phone
- (408) 927-7811
- Fax
- (408) 268-5268
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California