Brenton L Moore
Brenton L Moore is a Rehabilitation Practitioner in Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2055 Lincoln AvePasadena, CA 91103-1324 Not confirmed with CMS for 19 years — call before visiting
Phone: (626) 255-2853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1073633111 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2007 |
| Last updated in NPPES | July 8, 2007 |
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