Doctor Name: | CONSTANCE ANNE MOISAN |
NPI Number: | 1427324508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 35727 |
Business Practice Address: | 302 N El Camino Real Ste 106 San Clemente, CA - 926724776 |
Business Phone Number: | 9493103292 |
Business Fax Number: | |
Mailing Address: | 302 N El Camino Real Ste 106, SAN CLEMENTE |
State: | CA |
Postal Code: | 926724776 |
Phone Number: | 9493103292 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 35727 |
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 |