Doctor Name: | CRYSTAL MOORE |
NPI Number: | 1982887840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 33931 |
Business Practice Address: | 25825 Vermont Ave Harbor City, CA - 907103518 |
Business Phone Number: | 3103255111 |
Business Fax Number: | |
Mailing Address: | 393 E Walnut St, 3rd Floor Phr Systems PASADENA |
State: | CA |
Postal Code: | 911880001 |
Phone Number: | 0000000000 |
Fax Number: | 0000000000 |
NPI Enumeration Date: | 12/13/2007 |
NPI Last Update Date: | 12/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 33931 |
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 |