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Organization
REDDING FUNCTIONAL RESTORATION PROGRAM
Active
Organization
REDDING FUNCTIONAL RESTORATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROY MOORE M.D. (PRESIDENT)
(530) 245-5985
Entity
Organization
Contact information
Practice address
1706 CHURN CREEK RD., REDDING, CA 96002
(530) 245-5985
(530) 245-0539
Mailing address
1135 WHISKEYTOWN CT, REDDING, CA 96001-0227
(530) 245-5985
(530) 245-0539
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
G85748
CA
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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