Most Relevant Information
Provider Data
| NPI Number: | 1003326968 |
| Provider Name: | BRITTANY RHEYONNA MOORE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2306604626 |
Most Important Dates
| Enumeration Date: | 10/05/2017 |
| Last Updated: | 10/05/2017 |
Provider Practice Location
12100 CHANCELLORS VILLAGE LN
FREDERICKSBURG
VA
224076100
Practice Location Phone/Fax
| Phone: | 5407861491 |
| Fax: |
Provider Mailing Location
PO BOX 2152
GLEN ALLEN
VA
230582152
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |