| Doctor Name: | COLLEEN MORAN |
| NPI Number: | 1124261474 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 23819 |
| Business Practice Address: | 75-1029 Henry St Suite 101 Kailua Kona, HI - 967401666 |
| Business Phone Number: | 8083340806 |
| Business Fax Number: | |
| Mailing Address: | 823 Gateway Center Way, 131 SAN DIEGO |
| State: | CA |
| Postal Code: | 921024541 |
| Phone Number: | 6199064623 |
| Fax Number: | 6199064564 |
| NPI Enumeration Date: | 04/16/2009 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 23819 |
| 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 |