Individual
ALAN DOUGLAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, DPT
Contact information
Practice address
3400 CENTRAL AVE STE 145, RIVERSIDE, CA 92506-2161
(951) 297-3399
(951) 297-3404
Mailing address
4557 LUTHER ST, RIVERSIDE, CA 92504-2231
(951) 529-6062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21044
CA
Other
Enumeration date
04/23/2014
Last updated
12/05/2023
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