Individual
KEVIN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12702 COLIMA RD, LA MIRADA, CA 90638-1921
(562) 972-3574
Mailing address
12702 COLIMA RD, LA MIRADA, CA 90638-1921
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/06/2021
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