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Dr. Sean Michael Pimentel Moore

Physical Therapist in San Diego, CA. Individual provider (NPI-1).

NPI number1013780337
StatusActive
Last updated in NPPESOct 31, 2023

Details

NPI
1013780337
Entity type
Individual (NPI-1)
Name
Dr. Sean Michael Pimentel Moore
Sex
Male
Sole proprietor
No
Enumeration date
Oct 30, 2023
Certification date
Oct 31, 2023
Last updated
Oct 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist305002CAYes

Other names

  • Sean Moore (Other Name)

Practice location

7590 Miramar Rd
San Diego, CA 92126-4232

Phone 858-549-4255

Mailing address

1783 Vendola Dr
Chula Vista, CA 91913-2986

Phone 619-216-0623

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