Moore, Lisa Kathleen

Moore, Lisa Kathleen is an individual health care provider with primary practice located at 9116 Foothill Blvd Ste 102 , Rancho Cucamonga CA 91730-6564. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Moore, Lisa Kathleen can be contacted via phone (909) 941-7177.

Contact Information

Primary practice address
9116 Foothill Blvd Ste 102 Rancho Cucamonga CA 91730-6564
Phone: (909) 941-7177
Fax: (909) 941-1717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT2345 California

Profile Details

NPI number 1417976754
LBN Legal business name Moore, Lisa Kathleen
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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