Individual
EMILY HUTZAYLUK MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2499 S WILMINGTON AVE, COMPTON, CA 90220-5434
(310) 638-1113
(213) 294-0041
Mailing address
2499 S WILMINGTON AVE, COMPTON, CA 90220-5434
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
1293166
TX
2251X0800X
Orthopedic Physical Therapist
Primary
296004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/27/2017
Last updated
01/28/2025
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