Raphael Moore
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 JLancaster, CA 93534-2814
Phone: (661) 942-8463
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 2102 (CA) |
|---|
Record details
| NPI number | 1013306539 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2015 |
| Last updated in NPPES | January 21, 2015 |
| Mailing address | 42422 Marsuerite Way, Lancaster, CA 93536-4561 |
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