Individual
JORDAN MOIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 OAK PARK BLVD, PLEASANT HILL, CA 94523-4487
(925) 935-5222
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50116
CA
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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