Most Relevant Information
Provider Data
| NPI Number: | 1003516774 |
| Provider Name: | ASHLIE MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | P22012 |
Most Important Dates
| Enumeration Date: | 03/09/2023 |
| Last Updated: | 03/09/2023 |
Provider Practice Location
5108 FARM BARN LN
RALEIGH
NC
276039662
Practice Location Phone/Fax
| Phone: | 9105245430 |
| Fax: |
Provider Mailing Location
5108 FARM BARN LN
RALEIGH
NC
276039662
Provider Mailing Phone/Fax
| Phone: | 9105245430 |
| Fax: |