ETHEL MOORE, CPRP
Rehabilitation Practitioner
Active
Individual
NPI: 1104944792
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | NA (CA) |
| Rehabilitation Practitioner | 225400000X | Yes | NA (CA) |
Frequently Asked Questions
NPI 1104944792 is the National Provider Identifier for ETHEL MOORE, CPRP, a Rehabilitation Practitioner provider located in Lancaster, CA. This NPI was enumerated on March 26, 2007.
ETHEL MOORE, CPRP practices at 43423 DIVISION ST STE 107, Lancaster, CA 93535.
Quick Facts
- NPI
- 1104944792
- Type
- Individual
- Enumerated
- Mar 26, 2007
- Last Updated
- Sep 11, 2025
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