Individual
MR. BRIAN WAYNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-0228
(415) 353-1756
Mailing address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-0228
(415) 353-1756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18765
CA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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