Individual
COLLEEN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75-1029 HENRY ST, SUITE 101, KAILUA KONA, HI 96740-1666
(808) 334-0806
Mailing address
823 GATEWAY CENTER WAY, 131, SAN DIEGO, CA 92102-4541
(619) 906-4623
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23819
CA
Other
Enumeration date
04/16/2009
Last updated
06/09/2016
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