Individual
ALLYSON DENISE MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3700 BEVERLY BLVD, LOS ANGELES, CA 90004-3517
(310) 423-6281
Mailing address
8823 GREENWOOD AVE, SAN GABRIEL, CA 91775-1244
(626) 422-4138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3773
CA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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