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

Stella Moderau, PTA

Individual provider Physical Therapy Assistant · NPI 1659480788

Stella Moderau, PTA is a Physical Therapy Assistant in LA Mesa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

8090 Parkway Dr
LA Mesa, CA 91942-2105
Phone: (619) 697-3093
Fax: (619) 697-3135
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT1210 (CA)

Record details

NPI number1659480788
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2532 J Ave, National City, CA 91950-7521

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