Raphael Moore
Occupational Therapy Assistant
1642 W Avenue J
Lancaster
, California 93534-2814
Raphael Moore
Occupational Therapy Assistant
1642 W Avenue J
Lancaster
, California 93534-2814
(323) 240-6237
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Raphael Moore
- 42422 Marsuerite Way
- Lancaster, CA
- Zip : 93536-4561
- Phone : (323) 240-6237
Second Address
- Raphael Moore
- 1642 W Avenue J
- Lancaster, CA
- Zip : 93534-2814
- Phone : (661) 942-8463
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2102 | CA |
National Provider Identifier
| NPI | 1013306539 |
|---|---|
| Provider Name | Raphael Moore |
| First Address | Lancaster, CA 93536-4561 |
| Second Address | Lancaster, CA 93534-2814 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/01/2015 |
| Last Update Date | 21/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.