Individual provider · Type 1 NPI

Lisa Kathleen Moore, PTA

Physical Therapy Assistant · Rancho Cucamonga, CA

NPI number 1417976754 Active

Practice location

9116 Foothill Blvd Ste 102
Rancho Cucamonga, CA 91730-6564

Call (909) 941-7177 Map

Fax (909) 941-1717

Mailing address

11206 Rosarita Dr
Loma Linda, CA 92354-3210

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT2345 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1417976754

Lisa Kathleen Moore, PTA's National Provider Identifier is 1417976754, issued on Jul 18, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 8, 2007.