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Individual
PATRICK S MOON JR.
Active
Individual
PATRICK S MOON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
305283
CA
2251S0007X
Sports Physical Therapist
Primary
PT-4702
HI
Other
Enumeration date
12/16/2018
Last updated
03/09/2026
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