Individual
MR. THEODORE CRAIG MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
250 ELM AVE, AUBURN, CA 95603-4226
(530) 889-2411
(530) 889-2451
Mailing address
3600 KIMO WAY, AUBURN, CA 95602-9675
(530) 878-7076
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT6680
CA
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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