Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlotte Ann Moore

Individual provider Physical Therapy Assistant · NPI 1255548061

Charlotte Ann Moore is a Physical Therapy Assistant in McComb, Mississippi. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2007
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Practice location Address checks out

206 Maryland Ave
McComb, MS 39648-3926 Not confirmed with CMS for 19 years — call before visiting
Phone: (601) 250-4815
Fax: (601) 250-6859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0000001995 (TN)

Record details

NPI number1255548061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 8, 2007

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