Lisa Kathleen Moore in Rancho Cucamonga - Physical Therapy Assistant
Lisa Kathleen Moore - NPI 1417976754
Lisa Kathleen Moore is a Physical Therapy Assistant in Rancho Cucamonga, California. Lisa Kathleen Moore practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Lisa Kathleen Moore is 1417976754. The last update date is 2007-07-08.
Lisa Kathleen Moore's current location address is 9116 Foothill Blvd Ste 102, Rancho Cucamonga, California. You can contact this provider via phone number 9099417177 and fax number 9099411717. The mailing address for Lisa Kathleen Moore is 9116 Foothill Blvd Ste 102, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Kathleen Moore |
|---|---|
| Address | 9116 Foothill Blvd Ste 102, Rancho Cucamonga, California |
| Phone Number | 9099417177 |
| Fax Number | 9099411717 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1417976754 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9116 Foothill Blvd Ste 102 |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917306564 |
| Phone Number | 9099417177 |
| Fax Number | 9099411717 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | AT2345 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the Lisa Kathleen Moore's 1417976754?
The Lisa Kathleen Moore's NPI (National Provider Identifier) Number is 1417976754. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lisa Kathleen Moore is located?
The Lisa Kathleen Moore is situated at the following address: 9116 Foothill Blvd Ste 102, Rancho Cucamonga, CA, 917306564.
What is Lisa Kathleen Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Kathleen Moore is Physical Therapy Assistant, and the taxonomy code that classifies this field of practice is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417976754 to Lisa Kathleen Moore?
The Centers for Medicare & Medicaid Services originally issued the 1417976754 to Lisa Kathleen Moore on 2006-07-18.
As of what date were the details pertaining to Lisa Kathleen Moore last refreshed?
The information related to the Lisa Kathleen Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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