Individual
PATRICK S MOON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
101 PRINGLE AVE UNIT B127, WALNUT CREEK, CA 94596-3992
(808) 386-4725
Mailing address
101 PRINGLE AVE UNIT B127, WALNUT CREEK, CA 94596-3992
(808) 386-4725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
305283
CA
2251S0007X
Sports Physical Therapist
Primary
PT-4702
HI
Other
Enumeration date
12/16/2018
Last updated
03/09/2026
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