Ravenwolf Moondragon Inserra-Le Crone
Ravenwolf Moondragon Inserra-Le Crone is a Physical Therapy Assistant in Davis, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
1515 Shasta DrDavis, CA 95616-6691
Phone: (530) 747-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence AT9712 (CA) |
|---|
Record details
| NPI number | 1326755307 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 31, 2022 |
| Last updated in NPPES | October 31, 2022 |
| Certification date | October 31, 2022 |
Other providers in Davis
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Tyler Bouchard
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Melissa Cherie Bradshaw
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Brody C Choy
1515 Shasta Dr, Davis, CA 95616-6691 · (530) 747-7000
-
Lani Fontillas, PTA
1515 Shasta Dr, Davis, CA 95616-6691 · (530) 747-7000
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Leslie D McGregor, PTA
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Mariah Melder, PTA
1515 Shasta Dr, Davis, CA 95616-6691 · (530) 747-7000
-
Nancy Melgoza, PTA
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