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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FREDERICK HENRY MOORE JR.

Active Sole Proprietor

MR. FREDERICK HENRY MOORE JR. is a Physical Therapist Assistant healthcare provider located in STERLING HEIGHTS, Michigan. NPI 1427695857 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · STERLING HEIGHTS, MI

Registration Details

NPI Number
1427695857
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2019 (6.7117782551081 yrs)
Last Updated
Dec 4, 2019
License
2701493343 (MI)
Sole Proprietor
Yes

Practice Information

Address
14000 LAKESIDE CIR
STERLING HEIGHTS, MI, 483131320
Browse MI providers · Browse ZIP 48313
Phone
5862606371
Primary Specialty
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.