Laura Simchak Moore in Phoenix - Pediatrics
Laura Simchak Moore - NPI 1255380853
Laura Simchak Moore is a Pediatrics in Phoenix, Arizona. Laura Simchak Moore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Laura Simchak Moore is 1255380853. The last update date is 2009-12-03.
Laura Simchak Moore's current location address is 3401 N 67th Ave, Phoenix, Arizona. You can contact this provider via phone number 6236914032. The mailing address for Laura Simchak Moore is 3401 N 67th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Simchak Moore |
|---|---|
| Address | 3401 N 67th Ave, Phoenix, Arizona |
| Phone Number | 6236914032 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1255380853 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2009-12-03 |
Provider Mailing Address Detail
| Address | 3401 N 67th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850334517 |
| Phone Number | 6236914032 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 5964 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique provider identifier assigned to Laura Simchak Moore?
The Laura Simchak Moore has been issued the NPI (National Provider Identifier) 1255380853 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Laura Simchak Moore is physically located?
The Laura Simchak Moore is situated at the following address: 3401 N 67Th Ave, Phoenix, AZ 850334517.
What is Laura Simchak Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laura Simchak Moore's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251P0200X.
When did Laura Simchak Moore receive its 1255380853 assignment?
The Laura Simchak Moore was assigned its 1255380853 on 2006-05-09, which is the date when this unique identifier was issued to the organization.
When was the Laura Simchak Moore's information last updated?
The Laura Simchak Moore's information was last updated on 2009-12-03.