Individual
ERIN MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1350 E DEVONSHIRE AVE, HEMET, CA 92544-8629
(951) 925-2571
Mailing address
28175 AMARYLISS WAY, MURRIETA, CA 92563-3407
(503) 928-1554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50373
CA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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