Doctor Name: | ADAM MOORE |
NPI Number: | 1083072755 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 42929 |
Business Practice Address: | 4520 Executive Dr Suite 101 San Diego, CA - 921213018 |
Business Phone Number: | 8585351894 |
Business Fax Number: | 8585351863 |
Mailing Address: | 9850 Genesee Ave, Suite 210 LA JOLLA |
State: | CA |
Postal Code: | 920371224 |
Phone Number: | 8585351075 |
Fax Number: | 8585351863 |
NPI Enumeration Date: | 02/09/2016 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 42929 |
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 |