Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raphael Moore

Individual provider Occupational Therapy Assistant · NPI 1013306539

Raphael Moore is an Occupational Therapy Assistant in Lancaster, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

1642 W Avenue J
Lancaster, CA 93534-2814
Phone: (661) 942-8463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2102 (CA)

Record details

NPI number1013306539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJanuary 21, 2015

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