Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2305001100 | VA |
N | 2251H1200X | Hand | 9105000004 | VA |
NPI | 1689633737 |
---|---|
Provider Name | Ms. Christine A Moran |
First Address | Richmond, VA 23255-1076 |
Second Address | Richmond, VA 23229-5011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2006 |
Last Update Date | 12/09/2008 |