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Contact Information

BYRON MOORE, PT, DPT
843 WAKE FOREST BUSINESS PARK STE 110
WAKE FOREST, NC27587
 Phone: 919-570-7080
 Fax: 919-570-7081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BYRON MOORE · (Male)

NPI # 1033626791
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 01/03/2018
Last updated 07/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 18051
  • NJ License # 40QA01762300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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