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Susan Moore, ATC, MS, LAT

NPI 1881903896 · on the registry since 2010 · sole proprietor

Practice

Address
9030 Monticello Rd
Wesson, MS 39191
Phone
(601) 668-2932

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-26

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 Mississippi