Individual provider · Type 1 NPI

Brenton L. Moore

Rehabilitation Practitioner · Pasadena, CA

NPI number 1073633111 Active

Practice location

2055 Lincoln Ave
Pasadena, CA 91103-1324

Call (626) 255-2853 Map

Mailing address

254 E Washington Blvd, 109
Pasadena, CA 91104-2160

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1073633111

Brenton L. Moore's National Provider Identifier is 1073633111, issued on Mar 30, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 8, 2007.