| Doctor Name: | MRS. MOIRA RUTH RODRIGUEZ-DAVEY |
| NPI Number: | 1073753687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT17567 |
| Business Practice Address: | 1526 N Edgemont St Los Angeles, CA - 900275260 |
| Business Phone Number: | 3237831344 |
| Business Fax Number: | 3237834459 |
| Mailing Address: | 319 S Mariposa Ave Apt 6, Los Angeles LOS ANGELES |
| State: | CA |
| Postal Code: | 900202643 |
| Phone Number: | 2132686543 |
| Fax Number: | 3237834459 |
| NPI Enumeration Date: | 02/23/2009 |
| NPI Last Update Date: | 06/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT17567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |