SearchCaliforniaOccupational Therapy Assistant

Raphael Moore

NPI 1013306539 · on the registry since 2015 · sole proprietor

Practice

Address
1642 W Avenue J
Lancaster, CA 93534
Phone
(661) 942-8463
Organisation at this address
Five Star Quality Care Ca Llc
Desert Canyon Post Acute, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California