Doctor Name: | MS. HAZELINE MARIE MOSS |
NPI Number: | 1306902333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT19014 |
Business Practice Address: | 5905 Canary Dr North Highlands, CA - 956604707 |
Business Phone Number: | 9163321505 |
Business Fax Number: | 9163399082 |
Mailing Address: | 5905 Canary Dr, NORTH HIGHLANDS |
State: | CA |
Postal Code: | 956604707 |
Phone Number: | 9163321505 |
Fax Number: | 9163399082 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT19014 |
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 |