Individual ProviderWilliam Henry MoorePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1525 N Rolling Rd, Catonsville, MD 21228-1100(410) 402-1200PECOS EnrollmentBased on the most recent information from CMS, provider William Henry Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396940094Provider TypeIndividualFull NameMoore, William HenryTitleMr.CredentialPTGenderMaleSole ProprietorNoEnumeration Date6/20/2007Last Updated2/1/2008Contact InformationPractice LocationPractice Address1525 N Rolling Rd, Catonsville, MD 21228-1100Phone(410) 402-1200FaxUnlisted FaxMailing LocationMailing Address4661 S Leisure Ct, Ellicott City, MD 21043-6423PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense19906Maryland