Raphael Moore

Occupational Therapy Assistant · Lancaster, CA

Individual Active NPI

NPI number 1013306539

Practice location

1642 W Avenue J
Lancaster, CA 93534-2814
Phone
(661) 942-8463

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NPI record

NPI
1013306539
Entity type
Individual (Type 1)
Enumeration date
January 21, 2015
Last updated
January 21, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 2102 CA

Mailing address

42422 Marsuerite Way
Lancaster, CA 93536-4561
Phone
(323) 240-6237

About Raphael Moore

Raphael Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 1642 W Avenue J, Lancaster, CA 93534-2814. The NPI number 1013306539 was assigned on January 21, 2015 and the record was last updated on January 21, 2015.

Raphael Moore lists a license in the registry: #2102 (CA) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Raphael Moore?

The NPI number is 1013306539.

What is the phone number of Raphael Moore?

The phone number listed for the practice location is (661) 942-8463.

Where is Raphael Moore located?

1642 W Avenue J, Lancaster, CA 93534-2814.

What is the taxonomy code for Raphael Moore?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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