Individual
KRISTEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1910 OLD TUSTIN AVE, SANTA ANA, CA 92705-7811
(714) 835-6638
Mailing address
1910 OLD TUSTIN AVE, SANTA ANA, CA 92705-7811
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
PT298104
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT298104
CA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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