Individual
MISS KAREN LYNN MOERWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
2251 BUENA VISTA AVE., APT. #14, SAN LEANDRO, CA 94577
(510) 895-5365
Mailing address
2251 BUENA VISTA AVE., APT. #14, SAN LEANDRO, CA 94577
(510) 895-5365
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3669
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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