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Contact Information

SARA R MOORE, DPT
104 MAXWELL AVE
GREENWOOD, SC29646-2641
 Phone: 864-229-7529
 Fax: 864-229-7530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SARA R MOORE · (Female)

NPI Number 1013084144
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 11/30/2006
Last updated 08/16/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 5088
  • SC Medicaid TH 1754
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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