Individual
CONNOR R MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
25285 MADISON AVE STE 103, MURRIETA, CA 92562-8955
(951) 600-0054
Mailing address
268 WINDWARD WAY, RICHMOND, KY 40475-7709
(614) 563-4710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007689
KY
225100000X
Physical Therapist
CP008751T
OH
225100000X
Physical Therapist
PT017968
OH
225100000X
Physical Therapist
PT303606
CA
225100000X
Physical Therapist
Primary
PTL0019745
CO
Other
Enumeration date
07/15/2019
Last updated
04/01/2024
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