Moore, Staci Jennifer

Moore, Staci Jennifer is an individual health care provider with primary practice located at 801 Corporate Center Dr. , Pomona CA 91768. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moore, Staci Jennifer can be contacted via phone (909) 623-1954.

Contact Information

Primary practice address
801 Corporate Center Dr. Pomona CA 91768
Phone: (909) 623-1954
Fax: (909) 623-4988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 36505 California

Profile Details

NPI number 1124336490
LBN Legal business name Moore, Staci Jennifer
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2010
Last updated Sep 20th, 2010 - about 14 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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