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

Jacqueline Moore, PTDSCOCSATCCSCS

Individual provider Physical Therapist · NPI 1659459618

Jacqueline Moore, PTDSCOCSATCCSCS is a Physical Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-7100
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 33853 (CA)

Record details

NPI number1659459618
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDSCOCSATCCSCS
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 25, 2016

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