BRENTON MOORE

Rehabilitation Practitioner

Active Individual
NPI: 1073633111

Practice Address

2055 LINCOLN AVE
Pasadena, CA 91103

Phone: (626) 255-2853

Specialties

Specialty Code Primary License
Rehabilitation Practitioner 225400000X Yes -

Frequently Asked Questions

NPI 1073633111 is the National Provider Identifier for BRENTON MOORE, a Rehabilitation Practitioner provider located in Pasadena, CA. This NPI was enumerated on March 30, 2007.
BRENTON MOORE practices at 2055 LINCOLN AVE, Pasadena, CA 91103.

Quick Facts

NPI
1073633111
Type
Individual
Enumerated
Mar 30, 2007
Last Updated
Jul 8, 2007

Nearby Providers